Organization Active NPI

Vasudevan Rajasenan a Professional Corporation

  • Internal Medicine Physician
  • Ellwood City, PA
National Provider Identifier
1992882096
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD032865L Issued in PA
Legal business name
VASUDEVAN RAJASENAN A PROFESSIONAL CORPORATION
Practice address
300 Lawrence Ave
Ellwood City, PA 16117-1924
Phone
(724) 758-4850
Fax
(724) 758-7621
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Vasudevan Rajasenan, MD
Title
Medical Doctor
Phone
(724) 758-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD032865L PA Primary

Addresses

Primary practice location

300 Lawrence Ave
Ellwood City, PA 16117-1924

Mailing address

300 Lawrence Ave
Ellwood City, PA 16117-1924
Phone (724) 758-4850

Other identifiers 1

IdentifierTypeStateIssuer
030835OtherPAHIGHMARK BCBS

National Provider Directory

National Provider Directory

Locations

300 Lawrence Ave
Ellwood City, PA 16117
Phone (724) 758-4850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1992882096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171924",
            "telephone_number": "724-758-4850",
            "fax_number": "724-758-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LAWRENCE AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171924",
            "telephone_number": "724-758-4850",
            "fax_number": "724-758-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASUDEVAN RAJASENAN A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "RAJASENAN",
        "authorized_official_first_name": "VASUDEVAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "724-758-4850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD032865L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "030835",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.