Gouthami Sravanthi Erra, M.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1601000257 Issued in MI

Practice address

44200 Woodward Ave.,
Suit # 201
Pontiac, MI 48341

Phone

(248) 334-9490

Fax

(248) 636-1170

NPI assigned

Feb 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Bashar Succar MD PC

  • Hearing Aid Equipment
  • Pontiac, MI
  • NPI 1831298934
  NPD (past)
• Michigan Ear Nose and Throat Associates PC

  • Otolaryngology Physician
  • Pontiac, MI
  • NPI 1073560355
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1821276791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44200 WOODWARD AVE",
            "address_2": "SUIT # 201",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415045",
            "telephone_number": "248-334-9490",
            "fax_number": "248-636-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44200 WOODWARD AVE.,",
            "address_2": "SUIT # 201",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-334-9490",
            "fax_number": "248-636-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRA",
        "first_name": "GOUTHAMI",
        "middle_name": "SRAVANTHI",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "1601000257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY",
            "identifier": "1601000257",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Encourage Independent Living, LLC
• Endocrinology & Obesity Center PLLC
• Ennis Center for Children, Inc
• Martin Enos, DO
• Erin Erickson
• Evan C Eschker
• Beatriz Escobar
• Morgan Espinosa
• Suraiya Ahmed Essack-Varachia
• Anthony Essak, MD

• Specialist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.