KANDAMURUGU MANICKAM (NPI# 1972712743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972712743 |
| Entity Type | Individual |
| Full Name | KANDAMURUGU MANICKAM |
| Credential | MD |
| Practice Address |
700 Childrens Dr Columbus OH 43205-2664 |
| Practice Telephone | 6147223538 |
| Practice Fax Number | 6147223546 |
| Mailing Telephone | 6147223538 |
| Mailing Fax Number | 6147223546 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
35-092399 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2875143 | 05 |
| Street Address |
700 CHILDRENS DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031487 | Maryam Fouladi | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-05-23 |
| 1891395794 | Lubna Mazin | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-29 |
| 1326648635 | Annie Mae Thompson | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-27 |
| 1710586383 | Kara Monnin | Psychologist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-23 |
| 1669071437 | Benjamin Barth | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-22 |
| 1982202289 | Matthew Dick | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-09 |
| 1972100642 | Weslie Donia | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-06 |
| 1245847631 | Christopher Miskell | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-29 |
| 1659988061 | Lauren Haunani Peck | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-29 |
| 1952918914 | Sumeet Minhas | Dentist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699138685 | April Lehman | Medical Genetics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2016-03-29 |
| 1801230446 | Mohamed Helmy Abdel-rahman | Medical Genetics | 915 Olentangy River Rd, 5th Floor, Department of Ophthalmology, Columbus, OH 43212-3153 | 2013-04-25 |
| 1487949418 | Bimal Pankaj Chaudhari | Medical Genetics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2011-06-17 |
| 1811221054 | Stephen Gerard Kaler | Medical Genetics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2009-09-21 |
| 1477796993 | Jill Pluciniczak | Medical Genetics | 700 Children's Drive, Columbus, OH 43205-2664 | 2009-04-14 |
| 1497998868 | Kristen Truxal | Medical Genetics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2009-04-14 |
| 1104010982 | Mari Mori | Medical Genetics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-09-05 |
| 1326243320 | Scott Ewing Hickey | Medical Genetics | 700 Children's Drive, Columbus, OH 43205-2664 | 2007-06-19 |
| 1063466027 | Mark E Nunes | Medical Genetics | 555 S 18th St, Columbus, OH 43205-2654 | 2006-05-22 |
| 1356308456 | Judith A Westman | Medical Genetics | 2050 Kenny Rd, Columbus, OH 43221 | 2006-05-01 |
| Find all providers in COLUMBUS | ||||
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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.