Palur V. Sridharan, M.D.,F.A.C.S.,F.I.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2923A Issued in WY

Practice address

519 8TH St
Rawlins, WY 82301-5418

Phone

(307) 324-2705

Fax

(307) 324-2923

NPI assigned

Jan 9, 2006

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

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: psridharan@yourcarecommunity.org

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.

• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757
  Medicare reassignment NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881672897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2139",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823012139",
            "telephone_number": "307-324-2705",
            "fax_number": "307-324-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 8TH ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015418",
            "telephone_number": "307-324-2705",
            "fax_number": "307-324-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIDHARAN",
        "first_name": "PALUR",
        "middle_name": "V.",
        "credential": "M.D.,F.A.C.S.,F.I.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "2923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Lynn Skordas, LCSW
• Juanita Smith
• Regina Claire Spaay, P.T.
• Jessica Spenny, RN
• Spruce Medical Clinic
• Debbie J Stevens, MSW
• Curtis T Stoddard, DMD
• Josephine Kennon Stratton, RN
• Jeffrey Sweet, DDS
• Andria M. Thayer

• Surgery Physician in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Surgery Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.