Shankar C. Naganna MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0059552 Issued in MD

Legal business name

SHANKAR C. NAGANNA MD PA

Practice address

686 A Poole Road
Westminster, MD 21157-6177

Phone

(443) 289-8286

Fax

(443) 289-8295

NPI assigned

Jun 13, 2014

Last updated

Jun 25, 2014By 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

Mrs. Karen Sadowski Naganna

Title

Administrator

Phone

(443) 289-8286

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gourishankar Naganna, MD

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1538189329
  Medicare reassignment

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1770997181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 A POOLE ROAD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576177",
            "telephone_number": "443-289-8286",
            "fax_number": "443-289-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 A POOLE ROAD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576177",
            "telephone_number": "443-289-8286",
            "fax_number": "443-289-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANKAR C. NAGANNA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "NAGANNA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SADOWSKI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-289-8286",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0059552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7496418",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1840995",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Alexis Sergott-Pearce, LCSW-C
• Lorraine Marie Sexton
• Kevin Gerard Seymour, M.D.
• Constance Sgarlata, LCSW-C
• Patricia A Shaffer, LCSW-C
• Sandra B Shapiro, LCPC
• Chintu Sharma, MD
• Sharon Alongi, MD PA
• Nancy Elizabeth Shaw-Hart, AU.D.
• Robert Alan Shaw, M.D.

• Primary Care Clinic/Center in Westminster, MD
• Providers in Westminster, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.