NANDKISHORE B RAGHURAM (NPI# 1841293164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841293164 |
| Entity Type | Individual |
| Full Name | NANDKISHORE B RAGHURAM |
| Credential | M.D. |
| Practice Address |
1600 Wallace Blvd 2nd Floor, Picu Amarillo TX 79106 |
| Mailing Address |
Po Box 840026 Dallas TX 75284-0026 |
| Practice Telephone | 8062126965 |
| Practice Fax Number | 8062126278 |
| Mailing Telephone | 8062125079 |
| Mailing Fax Number | 8062126278 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
K6254 | TX | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
K6254 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 177246904 | 05 |
| Street Address |
1600 WALLACE BLVD 2ND FLOOR, PICU |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
| 1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
| 1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
| 1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
| 1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
| 1295392124 | Pranav Dilip Bhakta | Physician Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-05-27 |
| 1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
| 1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982726741 | Terry Lee Furgiuele | Pediatrics | 4600 Ashville Pl, Amarillo, TX 79119-6452 | 2007-04-04 |
| 1306852405 | Angelica Chavez | Pediatrics | 1600 S Coulter, Suite F600, Amarillo, TX 79106-1710 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
| 1083156905 | Pediatric Immediate Care of Texas, Pllc | Pediatrics | 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 | 2016-11-09 |
| 1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
| 1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
| 1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
| 1306172945 | Omar S Arrieta | Pediatrics | Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-11-01 |
| 1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
| 1609036342 | Loay Y Abdulsamad | Pediatrics | 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 | 2008-06-16 |
| 1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
| 1225106875 | Childrens Critical Care of San Antonio Pa | Pediatrics | 5925 Kirby Dr, E354, Houston, TX 77005-2546 | 2006-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.