Seker R Medavarapu

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

602991567 Issued in WA

Legal business name

SEKER R MEDAVARAPU

Doing business as

Clearwater Braces

Practice address

1366 Bridge St
Clarkston, WA 99403-2332

Phone

(509) 751-1780

Fax

(509) 751-8771

NPI assigned

Mar 16, 2010

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Seker Ravee Medavarapu, M.P.T.

Title

Owner

Phone

(509) 751-1780

Specialties & licenses 1

Addresses

Other names 1

• Clearwater Braces Doing business as

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1548584857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032332",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032332",
            "telephone_number": "509-751-1780",
            "fax_number": "509-751-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEKER R MEDAVARAPU",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MEDAVARAPU",
        "authorized_official_first_name": "SEKER",
        "authorized_official_middle_name": "RAVEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-751-1780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602991567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Marie Schulz
• Edward Lee Schwartz, M.ED., LMHP
• Genesis Scoggin
• Carson Douglas Seeber, M.D.
• Kandace Seely
• Leah Severson, RDN, CSR, LD, CD
• Munir Wesley Shah, MA
• Kody Lee Sheets, LDO
• Scott Oliver Shelden, DC
• Carolyn Jean Shoemaker, PA-C

• Durable Medical Equipment & Medical Supplies in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.