MADHAVA S RAO (NPI# 1902896210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902896210 |
Entity Type | Individual |
Full Name | MADHAVA S RAO |
Credential | MD |
Practice Address |
1800 Mulberry St Scranton PA 18510-2369 |
Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
Practice Telephone | 5707034830 |
Practice Fax Number | 5707034835 |
Mailing Telephone | 5702716144 |
Mailing Fax Number | 5702716578 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD022769E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 000783324 | 05 | |
PA | BLUE SHIELD | 157430 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
475 Morgan Hwy, Scranton, PA 185082605 | 5709612105 | 5709694303 |
Street Address |
1800 MULBERRY ST |
City | SCRANTON |
State | PA |
Zip Code | 18510-2369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366444507 | Community Medical Center | General Acute Care Hospital | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-06-01 |
1144832734 | Jennifer Marie Remetta | Clinical Nurse Specialist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-17 |
1982215380 | Stephanie Cybulski | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-11 |
1386254803 | Marisa Perrella | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-08-10 |
1396354494 | Lindsay Michelle Okubo | Pharmacist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-24 |
1275141855 | Brittany Alessandra Field | Nurse Practitioner | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-20 |
1932726478 | Patrick Teehan | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-07-01 |
1184247124 | Kara Elizabeth Golya | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2020-05-26 |
1124664479 | Christina Belko | Physical Therapy Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-21 |
1679119028 | Tracey Ganz | Occupational Therapist | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-11-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
Find all providers in zip 18510 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1659572733 | Kevin H. Olsen M.d. PC | Internal Medicine | 2603 Stafford Ave, Scranton, PA 18505-3608 | 2007-05-29 |
1376634949 | Kevin H Olsen | Internal Medicine | 2603 Stafford Avenue, Scranton, PA 18505-3608 | 2006-09-27 |
1295730182 | Leonard J Denis | Internal Medicine | 746 Jefferson Avenue, Suite 305, Scranton, PA 18510 | 2005-06-16 |
1306070735 | Nishant Sethi | Internal Medicine | 743 Jefferson Ave, Suite 305, Scranton, PA 18510-1635 | 2009-05-13 |
1588816854 | Michelle Diane Spotnitz | Internal Medicine | 1800 Mulberry Street, Scranton, PA 18510-6800 | 2008-10-18 |
1396803938 | Richard Edward Gratz | Internal Medicine | 201 Smallacombe Dr, Scranton, PA 18508-2616 | 2006-12-05 |
1659467330 | Matthew Martin Stopper | Internal Medicine | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2006-10-04 |
1679668214 | Peter J Cawley | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2006-10-03 |
1528080116 | Joseph Russo | Internal Medicine | 746 Jefferson Ave, Scranton, PA 18510-1624 | 2006-07-24 |
1891785952 | David L Lohin | Internal Medicine | 1800 Mulberry St, Scranton, PA 18510-2369 | 2005-10-28 |
Find all providers in SCRANTON |
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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.