Govindaraju Subramani, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

28095-020 Issued in WI

Practice address

480 N Koeller St
Oshkosh
Oshkosh, WI 54902-4111

Phone

(920) 236-3292

Fax

(920) 236-3295

NPI assigned

Jan 19, 2007

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

State licenses

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.

• Baycare Clinic LLP

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1134490758
  NPD (past)
• Baycare Clinic LLP

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1588609648

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457404535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 WYLDEBERRY LN",
            "address_2": "OSHKOSH",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047679",
            "telephone_number": "920-236-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N KOELLER ST",
            "address_2": "OSHKOSH",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-236-3292",
            "fax_number": "920-236-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANI",
        "first_name": "GOVINDARAJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "28095-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Strong, LCSW
• Jessica Nicole Strupp, PT, DPT
• Ryan Matthew Strupp
• Dayton P Stumpf, NP
• Melissa Marie Stutzriem, MSPT, CSCS
• Lauren T Sullivan, NP
• Supportive Learning Care 2
• Lars V Swanson, MD
• Loren Charles Swanson, DDS
• Renae D. Swanson, PH.D., LPC, NCC

• Cardiovascular Disease Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.