DR. SANTHI KEERAN (NPI# 1851515688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851515688 |
| Entity Type | Individual |
| Full Name | DR. SANTHI KEERAN |
| Other Name | DR. SANTHI ILANKEERAN |
| Credential | MD |
| Practice Address |
1015 S Hackett Rd Waterloo IA 50701-3500 |
| Practice Telephone | 3192741000 |
| Practice Fax Number | 3192926526 |
| Mailing Telephone | 3192741000 |
| Mailing Fax Number | 3192926526 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 38555 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ECFMG | 0-619-248-8 | 01 | |
| IA | RR MEDICARE | P00914938 | 01 |
| IA | 1851515688 | 05 | |
| IA | RR MEDICARE | CC6519 | 01 |
| Street Address |
1015 S HACKETT RD |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763286 | Brett R Richman | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2005-07-07 |
| 1457801326 | Kelli Deserano | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2016-10-04 |
| 1861745507 | Arun Kumar Muthusamy | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-10-18 |
| 1588919351 | Tracy R Elliott | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-07-18 |
| 1053608687 | Suhag Maheshbhai Patel | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2011-07-04 |
| 1699929182 | Jennifer Smentek Jampoler | Social Worker | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-11-10 |
| 1619140910 | Srinivas Kalala | Internal Medicine | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2008-04-08 |
| 1750570172 | Mohamad Hamdi | Obstetrics & Gynecology | 1015 S Hackett Rd, Suite 200, Waterloo, IA 50701-3500 | 2007-10-22 |
| 1851425276 | Department of Veterans Affairs Outpatient Clinic | Clinic/Center | 1015 S Hackett Rd, Waterloo, IA | 2007-03-15 |
| 1134284565 | Amicare Pharmacy Inc | Pharmacy | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1033777610 | Emily Rose Pursley | Family Medicine | Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1609434281 | Shalini Chowdavarapu | Family Medicine | Ne Ia Family Practice Center, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702-5070 | 2019-05-30 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1669826640 | Sapna Patel | Family Medicine | 2140 Logan Ave Ste C, Waterloo, IA 50703-1002 | 2016-04-15 |
| 1174752802 | Lane A Noble | Family Medicine | 2055 Kimball Ave Ste 100, Waterloo, IA 50702-5014 | 2009-07-01 |
| 1568698389 | Michelle Sarah Craig | Family Medicine | 2710 St. Francis Drive, Suite 210, Waterloo, IA 50702-5401 | 2009-06-08 |
| 1386879724 | Lydia Mustafic | Family Medicine | 2710 Saint Francis Dr Ste 210, Waterloo, IA 50702-5664 | 2009-05-28 |
| 1386651560 | David Robert Kobliska | Family Medicine | 2710 St.francis Dr, Waterloo, IA 50702-2081 | 2006-08-01 |
| Find all providers in WATERLOO | ||||
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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.