Organization Active NPI

Sunrays Cardiology Inc

  • Cardiovascular Disease Physician
  • Newark, OH
National Provider Identifier
1366594848
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35084203 Issued in OH
Legal business name
SUNRAYS CARDIOLOGY INC
Practice address
71 South Terrace Avenue
Newark, OH 43055
Phone
(614) 252-7561
Fax
(614) 252-7564
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Venkatarama Gaddam, MD
Title
President
Phone
(614) 252-7561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35084203 OH Primary

Addresses

Primary practice location

71 South Terrace Avenue
Newark, OH 43055

Mailing address

1492 E Broad St
Suite 1401
Columbus, OH 43205
Phone (614) 252-7564

Other identifiers 1

IdentifierTypeStateIssuer
2486797MedicaidOH

National Provider Directory

National Provider Directory

Locations

2752 Cleveland Ave
Columbus, OH 43224
Phone (614) 252-7561

1924 Tamarack Rd
Newark, OH 43055
Phone (614) 252-7561

71 S Terrace Ave
Newark, OH 43055
Phone (614) 252-7561

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1366594848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 E BROAD ST",
            "address_2": "SUITE 1401",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43205",
            "telephone_number": "614-252-7564",
            "fax_number": "614-252-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SOUTH TERRACE AVENUE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "614-252-7561",
            "fax_number": "614-252-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRAYS CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GADDAM",
        "authorized_official_first_name": "VENKATARAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-252-7561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35084203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2486797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.