KOLANDAIVELU RAMASWAMY, MD - NPI NUMBER 1366436628

Summary

Provider Name: KOLANDAIVELU RAMASWAMY, MD

NPI Number: 1366436628

Clasification: Surgery (208600000X)

Organization: ONSLOW SURGICAL CLINIC PA

Address:
1200 NORTH DOWN RIVER ROAD
BOX 434
GRAYLING, MI
ZIP 49738

Phone Number: (989) 348-5900



Detailed Information

Kolandaivelu Ramaswamy, MD is a surgeon in Grayling, MI with 41 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. The assigned NPI number for this provider is 1366436628 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1200 NORTH DOWN RIVER ROAD
BOX 434
GRAYLING, MI
ZIP 49738
Phone: (989) 348-5900
Fax: (989) 348-4369

The enumeration date for this NPI number is 9/1/2005 and was last updated on 6/16/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208600000X Surgery 037076 MI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1770456 MEDICAID MI
2 D95972 MEDICARE UPIN MI
3 0200004 MEDICARE PIN MI

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1366436628 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name RAMASWAMY The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name KOLANDAIVELU The first name of the provider, if the provider is an individual.
5 Provider Credential Text MD The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
6 Provider First Line Business Practice Location Address 1200 NORTH DOWN RIVER ROAD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Second Line Business Practice Location Address BOX 434 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name GRAYLING The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name MI The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 49738 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 9893485900 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 9893484369 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 9/1/2005 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 6/16/2008 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 208600000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 037076 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 MI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 1770456 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 MI
24 Other Provider Identifier 2 D95972 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 2 MI
27 Other Provider Identifier 3 0200004 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier Type Code 3 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier State 3 MI
30 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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