Shashidhar Subbanna, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35080116 Issued in OH

Practice address

2151 Gramercy PL
Hummelstown, PA 17036-7061

Phone

(717) 851-0867

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Au Medical Associates Anesthesia Billing Services, LLC

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1801843933
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1043381734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 GRAMERCY PL",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 GRAMERCY PL",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170367061",
            "telephone_number": "717-851-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBANNA",
        "first_name": "SHASHIDHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35080116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly C Steier
• Stephen J Canis DMD PC
• Maria Kristine Stoner, MS, LPC
• Scott Allen Stoner, D.C.
• Tammy Stover
• Teresa L Such-Neibar, DO
• Suture Squad, PC
• Natalie Swartzentruber
• Thomas A Swavely, PT
• Alexandra G Swihura

• Anesthesiology Physician in Hummelstown, PA
• Providers in Hummelstown, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.