DR. SAKUNTLA KONDRAGUNTA (NPI# 1184695843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184695843 |
| Entity Type | Individual |
| Full Name | DR. SAKUNTLA KONDRAGUNTA |
| Credential | M.D. |
| Practice Address |
200 Medical Park Blvd Petersburg VA 23805-9274 |
| Practice Telephone | 8047655991 |
| Practice Fax Number | 8047655809 |
| Mailing Telephone | 8047655991 |
| Mailing Fax Number | 8047655809 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101222345 | VA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 0101222345 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1184695843 | 05 | |
| VA | 010107318 | 05 | |
| VA | ANTHEM BCBS | 1184695843 | 01 |
| Street Address |
200 MEDICAL PARK BLVD |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413636 | Delesa Shana Kay Walden | Registered Nurse | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-09-27 |
| 1992339436 | Amy Kathryn Lansing | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-02-24 |
| 1588296453 | Erin Elise Layne | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-02-10 |
| 1295374643 | Crystal Leigh Maddox | Physical Therapist | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-01-02 |
| 1366081911 | Joshua Paul Pidcoe | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-12-31 |
| 1720623853 | Bon Secours Mercy Health Petersburg LLC | General Acute Care Hospital | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-11-13 |
| 1144874686 | Nina Thi Ong-pham | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-08-01 |
| 1720543507 | Martina Rochelle Washington | Specialist/Technologist, Other | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-02-05 |
| 1356812242 | Ams Virginia Pllc | Nurse Anesthetist, Certified Registered | 200 Medical Park Blvd, Petersburg, VA 23805 | 2018-12-17 |
| 1841761079 | Erin Collins | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2018-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194232801 | South Branch Hospitalist and Internal Medicine Group Pllc | Hospitalist | 65 Hospital Dr Ste 102, Petersburg, WV 26847-9549 | 2018-01-03 |
| 1588099584 | Virginia Group Services, LLC | Hospitalist | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2013-09-09 |
| 1396809109 | Commonwealth of Virginia Hiram W. Davis Medical Center | Hospitalist | 26317 W Washington Street, Petersburg, VA 23803 | 2006-12-19 |
| 1639232408 | Commonwealth of Virginia Southside Va Training Center | Hospitalist | 26317 W. Washington Street, Petersburg, VA 23803-0000 | 2006-12-19 |
| 1457415291 | Commonwealth of Virginia Central State Hospital | Hospitalist | 26317 W Washington Street, Petersburg, VA 23803 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447811443 | S. Wyatt, Pllc | Hospitalist | 7457 Mook Ct, Mechanicsville, VA 23111-1452 | 2019-06-21 |
| 1568028082 | Daniel Kamara | Hospitalist | 1102 Commerce St # H, Lynchburg, VA 24504-1719 | 2019-05-10 |
| 1235521667 | Medical Solutions of Virginia, Inc | Hospitalist | 717 Elm Forest Ct, Chesapeake, VA 23322-7589 | 2015-02-23 |
| 1043521800 | Ashish Patel | Hospitalist | 7151 Jahnke Rd, Richmond, VA 23225 | 2010-06-27 |
| 1457672024 | Baidaa N Sullivani | Hospitalist | 3136 Turnberry Cir, Charlottesville, VA 22911-7489 | 2010-06-18 |
| 1922323435 | Lily O Otolorin | Hospitalist | 2337 Kew Gardens Dr, Woodbridge, VA 22191-6577 | 2010-03-29 |
| 1700012473 | Abreham Baye Feleke | Hospitalist | Mcguire Va Medical Center 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2009-06-08 |
| 1134363427 | Yuri Maricich | Hospitalist | 977 Seminole Trl, #357, Charlottesville, VA 22901-2824 | 2009-04-30 |
| 1174790588 | James Hyun Jin So | Hospitalist | 4000 Barringer Ln, Apt 1938, Richmond, VA 23233-1158 | 2008-05-14 |
| 1861680662 | Riversbend Hospitalists P.C. | Hospitalist | 835 Club Ridge Ter, Chester, VA 23836-2746 | 2007-10-06 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
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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.