DR. SHEETAL REDDY MARRI (NPI# 1073713293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073713293 |
Entity Type | Individual |
Full Name | DR. SHEETAL REDDY MARRI |
Credential | M.D. |
Practice Address |
5000 Veterans St. Tomah WI 54660 |
Mailing Address |
5000 E. Veterans St. Tomah WI 54660 |
Practice Telephone | 7085377156 |
Mailing Telephone | 7085377156 |
Enumeration Date | 2007-07-25 |
Last Update Date | 2019-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
036.119393 | IL | Allopathic & Osteopathic Physicians |
Street Address |
5000 VETERANS ST. |
City | TOMAH |
State | WI |
Zip Code | 54660 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
1558476184 | Chitwood Nicol & Matthews LLC | Dentist | 214 Larkin St, Tomah, WI 54660 | 2006-08-21 |
Find all providers in zip 54660 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366467714 | Kurapati Bhaskar Reddy | Psychiatry & Neurology | 517 Court St Rm 503, Neillsville, WI 54456-1976 | 2006-07-13 |
1033188792 | Anthony J Braus | Psychiatry & Neurology | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2006-03-15 |
1811369473 | Shelley Rae Stanton | Psychiatry & Neurology | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2015-10-22 |
1568524155 | Krishna Dasgupta | Psychiatry & Neurology | 12690 W North Ave, Brookfield, WI 53005 | 2006-12-14 |
1003994500 | Noel K Garchitorena | Psychiatry & Neurology | 5900 S Lake Dr, Cudahy, WI 53110 | 2006-11-01 |
1154421667 | Timothy Howell | Psychiatry & Neurology | 2500 Overlook Ter, Madison, WI 53705-2254 | 2006-09-24 |
1518989748 | Richard Henry Gibson | Psychiatry & Neurology | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-24 |
1255358073 | Kara E Hayford | Psychiatry & Neurology | 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 | 2006-07-16 |
1053358788 | Redentor L Galang | Psychiatry & Neurology | 3267 S 16th St, Ohio Building Suite 209, Milwaukee, WI 53215-4500 | 2006-06-01 |
1184675266 | Lauren Bern | Psychiatry & Neurology | University of Wisconsin Hospital, 600 Highland Ave H4/831-8320, Madison, WI 53792-0001 | 2006-05-13 |
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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.