Active NPI
Eswari A Sivanandam, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lorain, OH
National Provider Identifier
1447223227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35039137
- Practice address
- 3700 Kolbe Rd
Attn Lab Dept
Lorain, OH 44053 - Phone
- (440) 960-3216
- Fax
- (440) 244-0726
- NPI assigned
- Feb 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35039137 | OH | Primary |
Addresses
Primary practice location
3700 Kolbe Rd
Attn Lab Dept
Lorain, OH 44053
Mailing address
630 E River St
4TH Floor Pathology Dept
Elyria, OH 44035-5902
Phone (440) 329-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0575211 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35039137 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorain Pathology Services Inc | Current | Accepting new patients |
Locations
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
Organizations & group practices 1
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.
-
- Cytopathology Physician
- Lorain, OH
- NPI 1174561880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1447223227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E RIVER ST",
"address_2": "4TH FLOOR PATHOLOGY DEPT",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440355902",
"telephone_number": "440-329-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 KOLBE RD",
"address_2": "ATTN LAB DEPT",
"city": "LORAIN",
"state": "OH",
"postal_code": "44053",
"telephone_number": "440-960-3216",
"fax_number": "440-244-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVANANDAM",
"first_name": "ESWARI",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35039137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0575211",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.