Paul Sresthadatta, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

34007180 Issued in OH

Practice address

9431 Pine Creek Dr
Powell, OH 43065-6505

Phone

(614) 420-6224

NPI assigned

Oct 31, 2005

Last updated

Nov 5, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320451200000",
    "number": "1851382709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 PINE CREEK DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656505",
            "telephone_number": "614-420-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9431 PINE CREEK DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656505",
            "telephone_number": "614-420-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRESTHADATTA",
        "first_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34007180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Beth Sovacool
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• Renee Soloway Spiegler, PT
• Lori Jo Spradlin
• Amy M Squier, RN
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• Catherine Starcher
• Brooke Starkoff, PHD, RDN, LDN
• Benjamin L Stayton
• Amy Steele, OTR/L, MPH

• Surgery Physician in Powell, OH
• Providers in Powell, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.