VISAHARAN SIVASUBRAMANIAM (NPI# 1902801921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902801921 |
| Entity Type | Individual |
| Full Name | VISAHARAN SIVASUBRAMANIAM |
| Credential | M.D. |
| Practice Address |
1380 Highway 192 E London KY 40741-3123 |
| Mailing Address |
73 Thompson Poynter Road Suite B London KY 40741 |
| Practice Telephone | 6068620605 |
| Practice Fax Number | 6068624899 |
| Mailing Telephone | 6068620605 |
| Mailing Fax Number | 6068624899 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2009-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
38197 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
38197 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P00107535 | 01 |
| KY | 64071939 | 05 | |
| KY | BLUE CROSS BLUE SHEILD | 000000325000 | 01 |
| Street Address |
1380 HIGHWAY 192 E |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710337985 | Cherished Care LLC | Counselor | 1380 Highway 192 E, London, KY 40741-3123 | 2016-06-17 |
| 1588011332 | Jessica Collins | Speech-Language Pathologist | 1380 Highway 192 E, London, KY 40741-3123 | 2016-05-23 |
| 1013370261 | Leah Beth Lawson | Speech-Language Pathologist | 1380 Highway 192 E, London, KY 40741-3123 | 2016-04-04 |
| 1508024738 | Cumberland Outpatient Rehab | Specialist | 1380 Highway 192 E, London, KY 40741-3123 | 2008-05-23 |
| 1801818422 | Anand Psc | Internal Medicine | 1380 Highway 192 E, London, KY 40741-3123 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720176522 | Hematology Oncology Physicians East Kentucky Psc | Internal Medicine | 2737 North Laurel Road, London, KY 40741 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679801435 | Peng Wang | Internal Medicine | 800 Rose St # Cc401b, Div of Medical Oncology, Lexington, KY 40536-0093 | 2009-12-04 |
| 1619112042 | Mohammed Aijaz Shareef | Internal Medicine | 2501 Kentucky Ave Ste 201, Paducah, KY 42003-3813 | 2008-12-15 |
| 1326132457 | Ralph G. Zinner | Internal Medicine | Head, Neck and Respiratory Clinic, 800 Rose Street, 2nd Floor, Lexington, KY 40536-0293 | 2006-10-03 |
| 1184671166 | Richard Louis Gruenewald | Internal Medicine | 3638 Treehaven Bnd, Owensboro, KY 42303-1785 | 2006-05-27 |
| 1922520808 | 21st Century Oncology of Kentucky LLC | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2017-07-12 |
| 1366715435 | Baptist Physicians Lexington, Inc | Internal Medicine | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2012-02-20 |
| 1831462548 | Oncology Hematology Care, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2012-02-13 |
| 1932476330 | Saint Joseph Health System | Internal Medicine | 701 Bob O Link Dr, Ste 120, Lexington, KY 40504-3759 | 2011-11-30 |
| 1730490152 | Kamlesh Prem Sajnani | Internal Medicine | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2010-06-30 |
| 1013141431 | Kent Edward Taylor | Internal Medicine | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 | 2009-05-13 |
| Find all providers with the same taxonomy | ||||
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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.