SIVA S KETHA (NPI# 1164431284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164431284 |
| Entity Type | Individual |
| Full Name | SIVA S KETHA |
| Credential | M.D. |
| Practice Address |
115 Heart Dr Greenville NC 27834-8982 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527444400 |
| Practice Fax Number | 2527443987 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 52266 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 104267 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME96490 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2018-01920 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| MN | RAILROAD MEDICARE | P00918758 | 01 |
| IA | ENROLLED | 05 | |
| NC | 1164431284 | 05 | |
| NC | BCBS OF NC | 202WD | 01 |
| NC | MEDICARE | NN6996A | 01 |
| FL | 276408300 | 05 |
| Street Address |
115 HEART DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944705 | William M Bogey Jr. | Surgery | 115 Heart Dr, East Carolina Heart Institute @ Ecu Dept. of Cvs, Greenville, NC 27834-8944 | 2005-06-30 |
| 1386255883 | Kari Lynn Lewicki | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2020-08-10 |
| 1144864885 | Ryan Christopher Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2019-11-06 |
| 1922575091 | Katisha Elzatie Mitchell | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2018-10-26 |
| 1356852933 | Joanna Barlow Bowman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834-8982 | 2017-10-23 |
| 1366858086 | Leslie Wiley Nifong | Specialist | 115 Heart Dr, East Carolina Heart Institute, Greenville, NC 27834-8982 | 2014-07-02 |
| 1679998785 | Lacey Freeman | Nurse Practitioner | 115 Heart Dr, Greenville, NC 27834 | 2014-02-26 |
| 1740603018 | Koh Takeuchi | Specialist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2014-01-22 |
| 1306271739 | Amanda Lee Whited | Psychologist | 115 Heart Dr, Ecu Physicians Cardiothoracic Surgery, Greenville, NC 27834-8944 | 2013-09-04 |
| 1699112771 | Cassandra Marie Garland | Perfusionist | 115 Heart Dr, East Carolina Heart Institute At Ecu, Greenville, NC 27834-8944 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003074212 | Ahad Manzoor Ul Hassan | Internal Medicine | 4501 Joe Ramsey Blvd E Ste 130, Greenville, TX 75401-7830 | 2008-05-26 |
| 1316579501 | Medical Services of Southern Illinois | Internal Medicine | 1520 S 4th St, Greenville, IL 62246-2618 | 2020-02-06 |
| 1285913996 | Neeraj N Shah | Internal Medicine | 115 Heart Dr, Greenville, NC 27834-8982 | 2011-08-11 |
| 1578884623 | Manish Jayant Patwardhan | Internal Medicine | 2100 Stantonsburg Rd, Greenville, NC 27834 | 2010-06-11 |
| 1295854206 | Delta Physician Practices | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2007-03-29 |
| 1811953995 | Carolina Heart Pa | Internal Medicine | 804 Johns Hopkins Dr, Greenville, NC 27834-7222 | 2006-04-26 |
| 1952382152 | Rony L Shammas | Internal Medicine | 850 W H Smith Blvd, Greenville, NC 27834-3763 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
| 1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on SIVA S KETHA.
| 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.