S.Vishwanath MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19896 Issued in AL

Legal business name

S.VISHWANATH MD PC

Practice address

1073 3Rd St
Florala, AL 36442-3231

Phone

(334) 858-2050

Fax

(334) 858-2120

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sasikumar Vishwanath, M.D.NPI 1013016732

Title

President

Phone

(334) 858-2050

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sasikumar Vishwanath, M.D.

  • Internal Medicine Physician
  • Florala, AL
  • NPI 1013016732
  Medicare reassignment NPD Authorized official
• Terry Ann Marcen Sturm, CRNP

  • Gerontology Nurse Practitioner
  • Florala, AL
  • NPI 1023303500
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1427157239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 3RD ST",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423231",
            "telephone_number": "334-858-2050",
            "fax_number": "334-858-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 3RD ST",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423231",
            "telephone_number": "334-858-2050",
            "fax_number": "334-858-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.VISHWANATH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "VISHWANATH",
        "authorized_official_first_name": "SASIKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-858-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "51037033VIS",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "51037033VIS",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000037033",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "214372179",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251015400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROADMEDICARE",
            "identifier": "110173224",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "51037033VIS",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF FLORIDA",
            "identifier": "51037033VIS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF ALABAMA",
            "identifier": "51524095",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS OF ALABAMA",
            "identifier": "51037033VIS",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marmedica LLC
• David Andrew Marsh, MD
• Pro Vita Physical Therapy - Florala
• Restore Florala
• Restore Therapy Services, LTD
• Serendipity Healthy Living Community, LLC
• Charles Thomas Smith II, RPH
• Terry Ann Marcen Sturm, CRNP
• Lauren Hose Tatum, DPT
• United Florala Inc.

• Internal Medicine Physician in Florala, AL
• Providers in Florala, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.