Ayyavoo Nandhakumar, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD047983L Issued in PA

Practice address

1376 Bucktail Rd
Saint Marys, PA 15857-3212

Phone

(814) 781-6565

Fax

(814) 781-1985

NPI assigned

Feb 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1902947062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 STONEHEDGE MEADOWS DR",
            "city": "RIDGWAY",
            "state": "PA",
            "postal_code": "158539745",
            "telephone_number": "814-772-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BUCKTAIL RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573212",
            "telephone_number": "814-781-6565",
            "fax_number": "814-781-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDHAKUMAR",
        "first_name": "AYYAVOO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-10",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD047983L",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD047983L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000067822",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014734060004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050002703",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan J Minnich, DO
• Kelley A Mohney, COTA
• Kelsey Marie Morey, COTA/L
• Ashley Marie Mulcahy, ATC
• Lewis Albert Murray, MHA, BS, RRT
• Jason David Nedzinski, D.M.D.
• Dora Blair Nelson, PA-C
• Michael F Novotny
• Brianna Marie Nussbaum, COTA/L
• Mary Kay O'Conor, MRI(MR)

• Anesthesiology Physician in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.