DR. PRANITH SURABHI (NPI# 1891074803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891074803 |
| Entity Type | Individual |
| Full Name | DR. PRANITH SURABHI |
| Credential | M.D. |
| Practice Address |
3135 W Broadway Suite 100 Council Bluffs IA 51501-3359 |
| Practice Telephone | 7122422040 |
| Practice Fax Number | 7123252445 |
| Mailing Telephone | 7122422040 |
| Mailing Fax Number | 7123252445 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 28025 | NE | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 41854 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
3135 W BROADWAY SUITE 100 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962418640 | Barclay A Monaster | Family Medicine | 3135 W Broadway, Council Bluffs, IA 51501 | 2006-08-01 |
| 1689223943 | Kaitlin Nicole Desoe | Registered Nurse | 3135 W Broadway, Council Bluffs, IA 51501-3359 | 2019-09-10 |
| 1922515030 | Laura P Denning | Nurse Practitioner | 3135 W Broadway, Council Bluffs, IA 51501-3359 | 2018-01-10 |
| 1649651928 | Michaela M. Lintner | Nurse Practitioner | 3135 W Broadway, Ste 100, Council Bluffs, IA 51501-3359 | 2015-06-12 |
| 1467848309 | Kathryn Free | Pediatrics | 3135 W Broadway, Council Bluffs, IA 51501 | 2015-04-07 |
| 1881095503 | Karoweso Margaret Chipendo | Registered Nurse | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2014-09-12 |
| 1619396835 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 3135 W Broadway, Suite 101, Council Bluffs, IA 51501-3359 | 2014-04-15 |
| 1992035778 | Tara L Sands | Nurse Practitioner | 3135 W Broadway, Council Bluffs, IA 51501 | 2009-12-30 |
| 1699939538 | Jamie Armbruster | Family Medicine | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2008-07-10 |
| 1437345329 | Sonia Acharya-gupta | Family Medicine | 3135 W Broadway, Suite 100, Council Bluffs, IA 51501-3359 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| 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 |
|---|---|---|---|---|
| 1982064846 | Kakish Schmidt and Partners Inc | Family Medicine | 3502 Metro Dr, Suite 200, Council Bluffs, IA 51501-7761 | 2016-03-04 |
| 1316108764 | Glenn Edward Hurst | Family Medicine | 201 Ridge St Ste 201, Council Bluffs, IA 51503-4643 | 2008-06-18 |
| 1407031230 | West Broadway Clinic, PC | Family Medicine | 16 S 17th St, Council Bluffs, IA 51501-3818 | 2007-12-28 |
| 1437209434 | Jon Gregory Thomas | Family Medicine | 1288 Valley View Dr, Council Bluffs, IA 51503 | 2007-01-11 |
| 1164538674 | Joseph M Wanzek IIi | Family Medicine | 3434 W Broadway, Suite 100, Council Bluffs, IA 51501-3291 | 2006-08-21 |
| 1962418640 | Barclay A Monaster | Family Medicine | 3135 W Broadway, Council Bluffs, IA 51501 | 2006-08-01 |
| 1720036676 | Linda Mabel Garcia-dorta | Family Medicine | 300 West Broadway, Ste 6, Council Bluffs, IA 51503-9040 | 2006-05-04 |
| 1508856303 | Kenneth D Burkhart | Family Medicine | 300 W Broadway, Ste 6, Council Bluffs, IA 51503 | 2005-10-24 |
| 1780169219 | Marcella Louise Sorrell | Family Medicine | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2018-10-01 |
| 1972087518 | Connie Johnson | Family Medicine | 201 Ridge St Ste 201, Council Bluffs, IA 51503-4662 | 2018-09-19 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on DR. PRANITH SURABHI.
| 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.