DR. SHEETHU SADASIVAN (NPI# 1891981304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891981304 |
| Entity Type | Individual |
| Full Name | DR. SHEETHU SADASIVAN |
| Credential | MD |
| Practice Address |
1115 N Ronald Reagan Pkwy Ste 206 Avon IN 46123-6911 |
| Mailing Address |
250 N Shadeland Ave Ste 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3172172888 |
| Practice Fax Number | 3172172999 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01071884A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VA MEDICAID | 1891981304 | 01 |
| IN | 201121360 | 05 |
| Street Address |
1115 N RONALD REAGAN PKWY STE 206 |
| City | AVON |
| State | IN |
| Zip Code | 46123-6911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255327706 | Darren Caudill | Internal Medicine | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2005-09-21 |
| 1770952566 | John A Ward | Physician Assistant | 1115 N Ronald Reagan Pkwy, Suite 206, Avon, IN 46123-6911 | 2015-09-22 |
| 1528435427 | Jennifer L Woodard | Clinical Nurse Specialist | 1115 N Ronald Reagan Pkwy, Ste 141, Avon, IN 46123-6913 | 2015-08-26 |
| 1003107517 | Joseph Tien-yo Lee | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 206, Avon, IN 46123-6911 | 2011-05-02 |
| 1104117167 | Drew A Kepple | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 141, Avon, IN 46123-6913 | 2011-04-26 |
| 1710277298 | Allison C Burke | Internal Medicine | 1115 N Ronald Reagan Pkwy, Ste 206, Avon, IN 46123-6911 | 2011-04-18 |
| 1952602997 | Joshua G Elzinga | Audiologist | 1115 N Ronald Reagan Pkwy, Suite 255, Avon, IN 46237-6341 | 2010-11-08 |
| 1689832834 | Mark A Unroe | Internal Medicine | 1115 N Ronald Reagan Pkwy, Avon, IN 46123-6911 | 2008-05-23 |
| 1942494307 | Tracy P Murray | Family Medicine | 1115 N Ronald Reagan Pkwy, Suite 141, Avon, IN 46123-6913 | 2007-08-29 |
| 1699977520 | Shannon L Austin | Audiologist | 1115 N Ronald Reagan Pkwy, Ste 255, Avon, IN 46123-6913 | 2007-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477033017 | Jm Medical Consulting LLC | Internal Medicine | 43 Westmont Rd, Avon, CT 06001-2381 | 2018-08-14 |
| 1083964845 | Hope Internal Medicine Pllc | Internal Medicine | 498 Collins St, Avon, NY 14414-1466 | 2012-09-19 |
| 1891098877 | Norm Numerof, Md, PC | Internal Medicine | 142 Beaver Creek Pl., Suite 112, Avon, CO 81620-0000 | 2010-12-13 |
| 1578721783 | Melissa C. Knutson | Internal Medicine | 1351 Ronald Reagan Pkwy Ste A, Avon, IN 46123-6764 | 2008-05-26 |
| 1760656151 | Omar Batal | Internal Medicine | 1111 N Ronald Reagan Parkway, Suite 171, Avon, IN 46123-6910 | 2008-04-16 |
| 1982826616 | Rene Lerer | Internal Medicine | 29 Saint Andrews Dr, Avon, CT 06001-4050 | 2007-05-03 |
| 1679640841 | Wayne Chen | Internal Medicine | 44 Dale Road, Avon, CT 06001-4320 | 2006-11-30 |
| 1538258439 | Lisa Kinderman | Internal Medicine | 5250 East Us 36, Suite 610, Avon, IN 46123 | 2006-10-11 |
| 1649375049 | Edgar Rainer Maria Marr | Internal Medicine | 36465 Detroit Rd, Avon, OH 44011-1576 | 2006-09-13 |
| 1902915713 | Ralph Rosenberg | Internal Medicine | 36 East Main Street, Avon, CT 06001-3828 | 2006-08-29 |
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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.