SUREKHA VENKATA KOTAPOTHULA (NPI# 1184800781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184800781 |
Entity Type | Individual |
Full Name | SUREKHA VENKATA KOTAPOTHULA |
Credential | M.D. |
Practice Address |
4th and Walnut Streets 3rd Floor Lebanon PA 17042-6123 |
Mailing Address |
Po Box 300 Lebanon PA 17042-0300 |
Practice Telephone | 7172704876 |
Practice Fax Number | 7172703875 |
Mailing Telephone | 7172707780 |
Mailing Fax Number | 7172749746 |
Enumeration Date | 2008-01-14 |
Last Update Date | 2020-02-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | MD437413 | PA | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | MD437413 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 102327998 0004 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4th and Walnut Streets, 3rd Floor, Lebanon, PA 170426123 | 7172704876 | 7172703875 |
501 E Main St, Waynesboro, PA 172682353 | 7177654000 | 7177653669 |
Street Address |
4TH AND WALNUT STREETS 3RD FLOOR |
City | LEBANON |
State | PA |
Zip Code | 17042-6123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285618421 | Ricardo Longarini | Internal Medicine | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | 2005-12-01 |
1063963585 | Good Samaritan Physician Services | Surgery | 4th and Walnut Streets, 2ns Floor, Lebanon, PA 17042 | 2016-10-19 |
1497043319 | Shristi Kunwar | Internal Medicine | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123 | 2011-07-12 |
1437465002 | Mary K Mutschler | Social Worker | 4th and Walnut Streets, Gsh Chapel, Lebanon, PA 17042-6165 | 2010-08-20 |
1427376797 | Good Samaritan Physician Services | Hospitalist | 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-0300 | 2010-05-12 |
1285883363 | Carla Elaine Pielmeier | Audiologist | 4th and Walnut Streets, Lebanon, PA 17042-1281 | 2008-09-15 |
1932116001 | David T Prizniak Jr. | Physician Assistant | 4th and Walnut Streets, Cardiovascular Surgical Associates of Lebanon, Lebanon, PA 17042-1281 | 2006-08-02 |
1912940651 | Lebanon Mri Associates, Ltd | Clinic/Center | 4th and Walnut Streets, Lebanon, PA 17042 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
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 |
---|---|---|---|---|
1568437127 | Sergei L Joffy | Hospitalist | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-02-17 |
1568937423 | Erica R Light | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2018-10-08 |
1710462411 | Andrea Schremph | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6123 | 2018-09-27 |
1598253577 | Charles E. Wade | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-04-25 |
1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
1780126920 | Lacey N Christian | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052 | 2016-11-04 |
1053867572 | Mary Katherine Fuller-nave | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-08-26 |
1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
1003263823 | Nilofar Najafian | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-23 |
1710332390 | Sean Xiang Li | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-02 |
Find all providers in LEBANON |
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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.