DR. VENKATRAM NETHALA (NPI# 1427158716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427158716 |
| Entity Type | Individual |
| Full Name | DR. VENKATRAM NETHALA |
| Credential | M.D. |
| Practice Address |
146 Academy Street Suite 1b Presque Isle ME 04769 |
| Practice Telephone | 2077641898 |
| Practice Fax Number | 2077646993 |
| Mailing Telephone | 2077641898 |
| Mailing Fax Number | 2077646310 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
018751 | ME | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
TD101035 | ME | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
8994 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
146 ACADEMY STREET SUITE 1B |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427060847 | Cathy A Bradley | Nurse Practitioner | 521 Main Street, Presque Isle, ME 04769 | 2006-08-13 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730103516 | James R Lambert | Internal Medicine | 171 Academy St, Presque Isle, ME 04769-3103 | 2006-07-26 |
| 1992969190 | Amratash Malodiya | Internal Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2008-07-16 |
| 1194833178 | Thomas Buckingham | Internal Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508136953 | George Jerome Didonna | Internal Medicine | 59 Blueberry Cv, Yarmouth, ME 04096-6527 | 2012-01-03 |
| 1386885705 | Lawrence D. Baker | Internal Medicine | 106 Campus Ave., Lewiston, ME 04240-6019 | 2009-03-14 |
| 1467646125 | Edward A Greco Jr Md | Internal Medicine | 693 Congress Street, Portland, ME 04102 | 2007-09-05 |
| 1720271380 | Ronald S Rosenfeld | Internal Medicine | 281 Birch Point Rd, Perry, ME 04667-3425 | 2007-08-27 |
| 1891700621 | Zelmira Curillova-chavko | Internal Medicine | One Northeast Drive, Emmc- Northeast Cardiology Associates, Bangor, ME 04401 | 2006-07-30 |
| 1760406516 | Peter Mccarren | Internal Medicine | 45 Allyn St, Belfast, ME 04915-6719 | 2006-07-26 |
| 1063445880 | Edward Greco | Internal Medicine | 693 Congress St, Portland, ME 04102-3303 | 2006-07-07 |
| 1306881198 | Lawrence J Petrovich | Internal Medicine | 12 Hospital Dr, Suite 9, York, ME 03909-1030 | 2006-06-17 |
| 1013988559 | Michael C. Lemieux | Internal Medicine | 11 Evergreen Dr, Central Maine Heart & Vascular, Waterville, ME 04963 | 2006-02-01 |
| 1760453344 | Peter N Ver Lee | Internal Medicine | 1 Northeast Dr, Bangor, ME 04401-4332 | 2006-01-31 |
| Find all providers with the same taxonomy | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
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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.