SUREKHA VENKATA KOTAPOTHULA


Address: 4th and Walnut Streets, 3rd Floor, Lebanon, PA 17042-6123
Phone: 7172704876

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 102327998 0004 05

Provider Secondary Practice Location

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

Office Location

Street Address 4TH AND WALNUT STREETS
3RD FLOOR
City LEBANON
State PA
Zip Code 17042-6123

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City LEBANON
Zip Code 17042

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Dataset Information

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.

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