DR. DARSHAN SUBBARAO NAIDU THOTA (NPI# 1447410220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447410220 |
| Entity Type | Individual |
| Full Name | DR. DARSHAN SUBBARAO NAIDU THOTA |
| Credential | M.D. |
| Practice Address |
9040a Jackson Ave Joint Base Lewis Mcchord WA 98431-1098 |
| Mailing Address |
102 Colony Pl Saint Simons Island GA 31522-1103 |
| Practice Telephone | 2539681110 |
| Mailing Telephone | 9125712842 |
| Enumeration Date | 2008-06-14 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 110703 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 921341098 | 9125712842 |
| Street Address |
9040A JACKSON AVE |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98431-1098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747716 | Melissa Stahl | Occupational Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-10-16 |
| 1043832090 | Ryan Michael Brock | Pharmacist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-13 |
| 1205457900 | Yang Qu | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2020-05-04 |
| 1275195877 | Michael C Saenz | Licensed Practical Nurse | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2019-07-03 |
| 1154892792 | Nicholas James Wankum | Physical Therapist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-12-07 |
| 1942775184 | Rachel Nell Dyal | Nutritionist | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-10-03 |
| 1861998346 | Isaac Ingersoll | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-04-03 |
| 1184124687 | Ketan Mehta | General Practice | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-02-20 |
| 1073965851 | Katy L Modlin | Dermatology | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5638 | 2016-07-06 |
| 1104286582 | Andrew Zilka | Physician Assistant | 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013377084 | Jacob Matthew Ernst | Emergency Medicine | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-03-03 |
| 1316304694 | Nicholas Derfler | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-01-18 |
| 1083008676 | Neal Aj Nettesheim | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-23 |
| 1821487455 | Travis Melton | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-01-20 |
| 1073939898 | Justine Stremick | Emergency Medicine | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1535 | 2014-03-17 |
| 1427474964 | Joshua Jacobson | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-03-07 |
| 1649695248 | Brandon Lee | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2014-02-19 |
| 1548605694 | Paul Freeman | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-05-02 |
| 1316280712 | Richard Murray Durbin | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-04-03 |
| 1154668770 | William Francis Dirkes | Emergency Medicine | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2013-01-16 |
| Find all providers in JOINT BASE LEWIS MCCHORD | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98431 |
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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.