NPIMap

Organization Active NPI

Durga R Kanuru MD PC

Doing business as Advanced Womens Wellness Center

  • Gynecology Physician
  • Highland, IN
National Provider Identifier
1386966240
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01031561A Issued in IN
Legal business name
DURGA R KANURU MD PC
Doing business as
Advanced Womens Wellness Center
Practice address
3445 Ridge Rd
Highland, IN 46322-2049
Phone
(219) 838-1100
Fax
(219) 923-3501
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Ms. Robin Renee Summerrise
Title
Billing Dept.
Phone
(219) 838-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 01031561A IN Primary

Addresses

Primary practice location

3445 Ridge Rd
Highland, IN 46322-2049

Mailing address

3445 Ridge Rd
Highland, IN 46322-2049
Phone (219) 838-1100

Other names 1

  • Advanced Womens Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

3445 Ridge Rd
Highland, IN 46322
Phone (219) 769-0711

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1386966240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100",
            "fax_number": "219-923-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 RIDGE RD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222049",
            "telephone_number": "219-838-1100",
            "fax_number": "219-923-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURGA R KANURU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "SUMMERRISE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "BILLING DEPT.",
        "authorized_official_telephone_number": "219-838-1100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01031561A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Womens Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.