DR. MALATHI TADAKAMALLA (NPI# 1316989197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316989197 |
| Entity Type | Individual |
| Full Name | DR. MALATHI TADAKAMALLA |
| Credential | M.D. |
| Practice Address |
600 Ne Meadowview Dr Lees Summit MO 64064-1983 |
| Mailing Address |
Po Box 219209 Kansas City MO 64121-9209 |
| Practice Telephone | 9132267332 |
| Practice Fax Number | 9136745563 |
| Mailing Telephone | 9132267332 |
| Mailing Fax Number | 9136745563 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2015-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2009003023 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE PTAN | MA3153001, | 01 |
| Street Address |
600 NE MEADOWVIEW DR |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449405 | Lakewood Care Center of Lee's Summit, L.c. | Skilled Nursing Facility | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2005-10-04 |
| 1437786530 | Claudia Gayle Mccormack | Occupational Therapist | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2020-03-26 |
| 1619532330 | Kaylyn Eshraghi | Speech-Language Pathologist | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2019-05-08 |
| 1487218582 | April Symone Mcgill | Physical Therapy Assistant | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2019-04-24 |
| 1053870196 | Kellie D Younker | Occupational Therapy Assistant | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2019-03-18 |
| 1851859623 | Sarah Irene Richardson | Occupational Therapy Assistant | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2019-03-11 |
| 1114408101 | Kimberly Nicole Traylor | Physical Therapy Assistant | 600 Ne Meadowview Dr, Lees Summit, MO 64064 | 2018-08-27 |
| 1841788254 | Hilary Elizabeth Schmitz | Occupational Therapist | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2018-05-01 |
| 1679963672 | Ashley Wiesner | Physical Therapist | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2015-01-28 |
| 1053729657 | Stacey Leigh Hittle | Speech-Language Pathologist | 600 Ne Meadowview Dr, Lees Summit, MO 64064-1983 | 2014-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| 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 |
|---|---|---|---|---|
| 1306165337 | Joy E Cuezze Md LLC | Family Medicine | 3066 Sw Grandstand Cir, Lees Summit, MO 64081-3866 | 2010-06-01 |
| 1073745493 | Summit Geriatrics LLC | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2009-08-18 |
| 1154511277 | Hearts With Hands Eldercare Physicians Pa | Family Medicine | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 | 2007-07-25 |
| 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 | LEES SUMMIT |
| Zip Code | 64064 |
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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.