VANI DANDOLU (NPI# 1205824224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205824224 |
| Entity Type | Individual |
| Full Name | VANI DANDOLU |
| Credential | MD |
| Practice Address |
1155 E Mountain Blvd Wilkes Barre PA 18702-7906 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708087916 |
| Practice Fax Number | 5708086006 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 14114 | NV | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD-062757-L | PA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
14114 | NV | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD062757L | PA | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
14114 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016590140008 | 05 | |
| NV | 1205824224 | 05 | |
| NV | MEDICARE PPAN | 1205824224 | 01 |
| Street Address |
1155 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18702-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234200 | Juan Manuel Arreguin | Obstetrics & Gynecology | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2005-09-07 |
| 1003434069 | Carolyn Teresa Clark | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2020-07-07 |
| 1982250742 | Jessica Miller | Advanced Practice Midwife | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1609422351 | Bridget Colleen Fox | Nurse Practitioner | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-16 |
| 1346896677 | Lauren Jurbala | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2019-08-13 |
| 1720559990 | Nicole Williams | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1811468036 | Lisa Ferenchick | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-12-16 |
| 1033688726 | Lauren Mckenzie Applegate Ax | Physician Assistant | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-11-25 |
| 1366942922 | Pearleen Ann Poplawski | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| 1104326750 | Alexandrea Marie Davis | Registered Nurse | 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906 | 2018-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153161 | Joann Bonn | Pharmacist | 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 | 2020-10-30 |
| 1689213167 | Megan Grace Zanghi | Pharmacist | 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 | 2019-12-31 |
| 1467013292 | Kelly Rose Sones | Pharmacist | 58/60 Public Square, Wilkes-barre, PA 18702 | 2019-06-24 |
| 1528520186 | Adam Olivetti | Pharmacist | 58-60 Public Square, Wilkes-barre, PA 18702 | 2019-04-03 |
| 1295220648 | Dental Associates of Nepa PC | Dentist | 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 | 2018-06-28 |
| 1568983245 | Bio-medical Applications of Pennsylavania, Inc. | Clinic/Center | 309 Laird St, Wilkes-barre, PA 18702 | 2017-07-03 |
| 1538615166 | Elsa Gates | Nurse Practitioner | 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 | 2016-09-01 |
| 1972990455 | Epeople Health Care Inc. | Home Health | 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 | 2015-04-22 |
| 1063819001 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 | 2014-11-19 |
| 1356764013 | Jill Stacchiotti | Speech-Language Pathologist | 2 Salem Drive, Laflin, PA 18702 | 2014-01-30 |
| Find all providers in zip 18702 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
| 1114226396 | Nabila Noor | Obstetrics & Gynecology | 1770 Bathgate Rd Ste 401, Bethlehem, PA 18017-7334 | 2011-03-27 |
| 1396992400 | Sonya Nichole Ephraim | Obstetrics & Gynecology | 3050 Hamilton Blvd Ste 200, Allentown, PA 18103-3691 | 2008-08-20 |
| 1619123825 | Luis Manuel Espaillat Rijo | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2008-08-07 |
| 1669414488 | Vincent R Lucente | Obstetrics & Gynecology | 3050 Hamilton Blvd., Suite 200, Allentown, PA 18103-3628 | 2006-06-13 |
| 1790785012 | Crisanta Sage Claydon | Obstetrics & Gynecology | 1098 W. Baltimore Pike, Suite 3404, Riddle Health Center 3, Media, PA 19063 | 2005-07-28 |
| 1861054629 | Grand View Hospital | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2019-07-02 |
| 1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
| 1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
| 1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18702 |
Please comment or provide details below to improve the information on VANI DANDOLU.
| 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.