DR. SRINATH TADAKAMALLA (NPI# 1184691305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184691305 |
| Entity Type | Individual |
| Full Name | DR. SRINATH TADAKAMALLA |
| Credential | M.D |
| Practice Address |
3001 E Elm St Harrisonville MO 64701 |
| Mailing Address |
Po Box 23085 Overland Park KS 66283-3085 |
| Practice Telephone | 8168137027 |
| Practice Fax Number | 9136745563 |
| Mailing Telephone | 8168137027 |
| Mailing Fax Number | 9136745563 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2005025981 | MO | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2005025981 | MO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 2005025981 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207472903 | 05 | |
| MO | DEA | BT7401728 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Carondelet Dr, Kansas City, MO 641144673 | 8169434757 |
| Street Address |
3001 E ELM ST |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427045467 | Crown Care Center of Harrisonville, L.c. | Skilled Nursing Facility | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2005-10-04 |
| 1972071645 | Samantha Marie Walsh | Physical Therapy Assistant | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2018-11-11 |
| 1790250231 | Samantha Leona Johnston | Occupational Therapy Assistant | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2018-10-11 |
| 1598262396 | Suzanne Nicole Killingsworth | Physical Therapist | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2018-04-09 |
| 1124422456 | William Blake Stuart | Physical Therapy Assistant | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2014-10-15 |
| 1487056354 | Laura Marie Grier | Nurse Practitioner | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2014-09-22 |
| 1356755383 | Dianna Larman | Specialist | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2014-06-18 |
| 1285065912 | Lauren Chapman | Occupational Therapy Assistant | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2013-12-05 |
| 1861836256 | Erin Elizabeth Mccarthy | Occupational Therapist | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2013-04-29 |
| 1528358611 | Adrienne Louise Klein | Physical Therapist | 3001 E Elm St, Harrisonville, MO 64701-1196 | 2011-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1073853586 | Lon Roland Tracy | Dentist | 300 S. Independence Street, Harrisonville, MO 64701 | 2013-02-20 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1093920639 | Serc of Harrisonville, L.L.C. | Durable Medical Equipment & Medical Supplies | 815 Westchester Avenue, Harrisonville, MO 64701 | 2007-05-14 |
| Find all providers in zip 64701 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164781035 | Carlyn Molstad Kline | Family Medicine | 17 Stonecrest, St. Joseph, MO 64506-3126 | 2012-05-11 |
| 1730346230 | Ltc Consultants LLC | Family Medicine | 16201 Bluegrass Ct, Belton, MO 64012-3342 | 2008-05-21 |
| 1487853750 | Susan E. Pearson, LLC | Family Medicine | 6209 Midrivers Mall Dr, #317, St Charles, MO 63304-1102 | 2007-07-16 |
| 1356476071 | Thomas M Macdonnell | Family Medicine | 665 State Highway J, Marshfield, MO 65706-8253 | 2007-02-22 |
| 1538232772 | Randall D. Huss | Family Medicine | 910 W 10th St, Rolla, MO 65401-2904 | 2006-11-16 |
| 1750464723 | Nevada Lee | Family Medicine | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2006-10-23 |
| 1447361977 | Richard O Schamp | Family Medicine | 6255 San Bonita Ave, Saint Louis, MO 63105-3210 | 2006-08-31 |
| 1265546923 | Patricia Sue Inman | Family Medicine | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4834 | 2006-08-19 |
| 1770546665 | Kerr Healthcare Services LLC | Family Medicine | 11851 Arbor Cir, Rolla, MO 65401-7476 | 2006-04-11 |
| 1831152370 | Jeffery Alan Kerr | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2006-04-07 |
| Find all providers with the same taxonomy | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
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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.