Nanjappa Subramanian MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME-37901 Issued in FL

Legal business name

NANJAPPA SUBRAMANIAN MD

Practice address

2215 Nebraska Ave
Suite #1E
Fort Pierce, FL 34950-4864

Phone

(772) 461-2555

Fax

(772) 461-2597

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nanjappa Subramanian, M.D.

Title

Physician

Phone

(772) 461-2555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609917764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE #1E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-461-2555",
            "fax_number": "772-461-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE #1E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-461-2555",
            "fax_number": "772-461-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANJAPPA SUBRAMANIAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "NANJAPPA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-461-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME-37901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.