MADHAVA RAO KANAKAMEDALA (NPI# 1013158013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013158013 |
| Entity Type | Individual |
| Full Name | MADHAVA RAO KANAKAMEDALA |
| Credential | M.D., |
| Practice Address |
1000 S Coulter St Ste 100 Amarillo TX 79106-1781 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 8063588654 |
| Practice Fax Number | 8063568687 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722342987 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
208512947 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04978239 | 05 | |
| TX | 404425701 | 05 | |
| MS | RAILROAD MEDICARE | P01580613 | 01 |
| Street Address |
1000 S COULTER ST STE 100 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063454007 | Harnoor Singh | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2006-06-12 |
| 1336769819 | Jennifer Campos | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2020-04-24 |
| 1104470095 | Staci Nichole Longbine | Pharmacist | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2019-07-29 |
| 1093034506 | Shrestha Dilipbhai Patel | Internal Medicine | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2010-05-24 |
| 1659512556 | Cathryn Anne Doughtie | Surgery | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2009-03-23 |
| 1407038813 | Jessica Ann Turner | Nurse Practitioner | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-11-28 |
| 1528251923 | Sara S. Woodward Dyrstad | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-08-20 |
| 1447450499 | Joshua Kilgore | Obstetrics & Gynecology | 1000 S Coulter St Ste 100, Amarillo, TX 79106 | 2007-07-18 |
| 1417167859 | Lova Tiana Arenivas | Radiology | 1000 S Coulter St Ste 100, Amarillo, TX 79106-1781 | 2007-05-23 |
| 1972627446 | Srini Bakkannagari Reddy | Internal Medicine | 1000 S Coulter St Ste 100, Suite 210, Amarillo, TX 79106-1781 | 2007-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134472442 | The Don and Sybil Harrington Cancer Center, Inc. | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2012-10-24 |
| 1265675854 | Daniel Michael Arsenault Jr. | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2009-04-12 |
| 1720010945 | John Thomas Gwozdz | Radiology | 1000 S Coulter St, Suite 100, Amarillo, TX 79106-1781 | 2006-07-07 |
| 1124076294 | James Harry Stafford | Radiology | 1900 Medi Park Dr, Amarillo, TX 79106-2187 | 2006-05-04 |
| 1730137647 | George Gordon Mccormack | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2006-05-04 |
| 1720036874 | Jaime Zusman | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2006-05-04 |
| 1629026521 | Donald G. Pratt | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2006-05-04 |
| 1720036650 | Consultants In Radiation Oncology, Pa | Radiology | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154534 | Genesiscare Landmark Texas Cancer Care Pa | Radiology | 12606 Greenville Ave Ste 160, Dallas, TX 75243-1915 | 2020-08-12 |
| 1780232090 | Yaser Hasan | Radiology | 1911 Holcombe Blvd Apt 1615, Houston, TX 77030-4190 | 2019-08-29 |
| 1932557030 | Joseph Charles Arko | Radiology | 11532 Champions Green Dr, Houston, TX 77066-1070 | 2016-05-30 |
| 1962860221 | Urology San Antonio, P.a. | Radiology | 7718 Pasteur Dr, San Antonio, TX 78229-3402 | 2016-02-02 |
| 1619355419 | Jamie Pawlowski | Radiology | 2215 E Villa Maria Rd Ste 130, Bryan, TX 77802-2585 | 2015-05-12 |
| 1073915245 | Texas Radiation Oncology Medical Group, Pllc | Radiology | 2800 State Hwy 114 East, Suite 100, Trophy Club, TX 76262 | 2014-09-19 |
| 1548660186 | Century West Houston Pllc | Radiology | 2610 W Sam Houston Pkwy S, Houston, TX 77042-0008 | 2014-09-02 |
| 1275971533 | Corsicana Cancer Center | Radiology | 306 Hospital Dr., Corsicana, TX 75110 | 2013-06-10 |
| 1194079376 | Century Radiation Oncology Lubbock, Pllc | Radiology | 424 N. Utica, Lubbock, TX 79416-3035 | 2012-11-09 |
| 1285999698 | Robert Dery Lindberg | Radiology | 3757 Robinhood St, Houston, TX 77005-2027 | 2012-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.