SUDIPTA MISRA (NPI# 1932177052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932177052 |
| Entity Type | Individual |
| Full Name | SUDIPTA MISRA |
| Credential | MD |
| Practice Address |
295a Midland Pkwy Ste 260 Summerville SC 29485-9039 |
| Mailing Address |
295-a Midland Parkway Summerville SC 29485 |
| Practice Telephone | 8436952700 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
51197 | SC | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
2012-00929 | NC | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
036097590 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5921082 | 05 | |
| IL | BCBS | 07215036 | 01 |
| IL | 036097890 | 05 | |
| NC | BCBSNC | 171H6 | 01 |
| SC | G59563 | 05 | |
| IL | JOHN DEERE | IL01Y9 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2160 Herbert Court, Ecu Physicians Pediatric Gastroenterology, Greenville, NC 278343736 | 2527445437 | 2527441514 |
| Street Address |
295A MIDLAND PKWY STE 260 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-9039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689885659 | George F Harris Iv | Otolaryngology | 295a Midland Pkwy Ste 260, Summerville, SC 29485-9039 | 2007-05-24 |
| 1629096763 | Alexander Dix Soutter | Surgery | 295a Midland Pkwy Ste 260, Summerville, SC 29485-5901 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775963 | Jeffrey Lee | Pediatrics | 135 Rutledge Ave # 489b, Charleston, SC 29425 | 2016-04-18 |
| 1609851336 | Yuliya Rekhtman | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6883 | 2005-12-15 |
| 1962994160 | Stormy B Walker | Pediatrics | 3240 Sunset Blvd, West Columbia, SC 29169-3428 | 2018-06-04 |
| 1760800650 | Carmine Suppa | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-3816 | 2014-03-28 |
| 1992146419 | Narendra Yallanki | Pediatrics | 14 Richland Medical Park Dr Ste 310, Columbia, SC 29203 | 2013-07-12 |
| 1649532367 | Lindsay M Moye | Pediatrics | 200 Patewood Dr Ste A140, Greenville, SC 29615 | 2012-06-08 |
| 1578852828 | Nagraj Kasi | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-04-06 |
| 1225281124 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1063672475 | Candi S Jump | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-06-10 |
| 1205946290 | Janaina Nogueira Anderson | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-1711 | 2006-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on SUDIPTA MISRA.
| 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.