DR. CHANDRA S REDDY (NPI# 1508898818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508898818 |
Entity Type | Individual |
Full Name | DR. CHANDRA S REDDY |
Credential | MD PHD |
Practice Address |
S2845 White Eagle Rd Ho-chunk House of Wellness Baraboo WI 53913 |
Mailing Address |
S2845 White Eagle Rd Ho-chunk Houses of Wellness Baraboo WI 53913 |
Practice Telephone | 6083550251 |
Practice Fax Number | 6083559643 |
Mailing Telephone | 6083550251 |
Mailing Fax Number | 6083559643 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
47052-20 | WI | Allopathic & Osteopathic Physicians |
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD00043121 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8432320 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548364037 | Chandra B Reddy | Anesthesiology | 100 N River Rd, Des Plaines, IL 60016-1209 | 2006-09-12 |
1407870868 | Chandra S K Reddy | Orthopaedic Surgery | 1104 North St, Jim Thorpe, PA 18229-1717 | 2006-07-27 |
1083649545 | Chandra S Reddy | Internal Medicine | 1854 W Auburn Rd Ste 100b, Rochester Hills, MI 48309-3868 | 2006-07-12 |
1316911431 | Chandra Mohan Reddy | Emergency Medicine | 440 East Happy Valley St., Cave City, KY 42127-8844 | 2006-02-15 |
1457398166 | Chandra Gavva Reddy | Internal Medicine | 3702 S 4th St, Terre Haute, IN 47802-5507 | 2006-06-01 |
Street Address |
S2845 WHITE EAGLE RD HO-CHUNK HOUSE OF WELLNESS |
City | BARABOO |
State | WI |
Zip Code | 53913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720610454 | Brittany Marie Hayes | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2020-02-11 |
1417414574 | Rosalee Anne Bertram | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2019-02-25 |
1407378193 | Abigail Moore | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2017-07-13 |
1265977425 | Kyla Ripp | Dietitian, Registered | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-12-27 |
1134672975 | Lisa T Bargender | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913 | 2016-07-28 |
1730546961 | Allie Isaacson | Registered Nurse | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2016-01-19 |
1104248160 | Christine Preston | Social Worker | S2845 White Eagle Rd, Baraboo, WI 53913 | 2014-01-10 |
1033531108 | Joseph White Eagle Sr. | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2014-01-09 |
1982943171 | Hussain Harun | Pharmacist | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2013-02-07 |
1134478373 | Hannah Hatlan-atwell | Counselor | S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 2012-09-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
1467088336 | Malerie Catherine Kurt | Physical Therapist | 707 14th Street, Rehabilitation Department, Baraboo, WI 53913 | 2020-03-23 |
1639718174 | Gwendolynn Sue Doyle | Physical Therapy Assistant | 1414 Jefferson Street, Baraboo, WI 53913 | 2020-01-02 |
1922572320 | Karen L Elsby | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 727 8th Street, Baraboo, WI 53913 | 2019-01-18 |
1952874281 | Cheryl Millard | Social Worker | Lutheran Social Services of Wisconsin, 727 8th Street Lower Level, Baraboo, WI 53913 | 2019-01-09 |
1427536598 | Daniel Robert Tokarczyk | Hearing Instrument Specialist | 622 State Hwy 136, Miracle Ear, Baraboo, WI 53913 | 2018-08-01 |
1508359928 | Erick Lichte Krueger | Counselor | 840 Us-12 #1, Baraboo, WI 53913 | 2018-06-11 |
1003351834 | Jason Welch | Hearing Instrument Specialist | 622 State Rd 136, Baraboo, WI 53913 | 2017-01-03 |
1376947820 | Affordable Medfical Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 1350 Jefferson St., Office, Attn, : Ada Vans, Baraboo, WI 53913 | 2014-10-13 |
1609179134 | Barbara Ostrowski | Registered Nurse | 52845 White Eagle Rd, Ho-chunk House of Wellness, Baraboo, WI 53913 | 2010-12-06 |
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Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1649595588 | Irina Ciubotaru | Internal Medicine | 3807 Spring St Ste 310, Mount Pleasant, WI 53405-1667 | 2010-04-05 |
1477876068 | Gretajo Northrop | Internal Medicine | 226 N Meadow Ln, Madison, WI 53705-3331 | 2010-03-10 |
1457588246 | Earl Shrago | Internal Medicine | 1415 Linden Dr, Univ. Wisc., Madison, WI 53706-1527 | 2009-06-18 |
1679735997 | Diabetes Osteoporosis Thyroid Endocrine Center, LLC | Internal Medicine | 1532 S Green Bay Rd Ste 300, Mount Pleasant, WI 53406-4410 | 2008-06-27 |
1184897357 | Eshraq Al-jaghbeer | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 245, Milwaukee, WI 53215-3678 | 2008-04-09 |
1205028487 | Jolita Satkus | Internal Medicine | 2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215 | 2007-08-13 |
1437206893 | Farah Salahuddin | Internal Medicine | 3601 30th Avenue, Suite 203, Endocrine Clinic of Kenosha, Kenosha, WI 53144-1632 | 2007-01-05 |
1306906664 | Hak-joong Kim | Internal Medicine | 5757 W Oklahoma Ave, Suite 101, Milwaukee, WI 53219-4303 | 2006-12-09 |
1093823130 | Thomas Kelly | Internal Medicine | 201 Nth Mayfair Rd, 2nd Floor, Wauwatosa, WI 53226 | 2006-08-28 |
1386759389 | Steven Rabinowe | Internal Medicine | 4077 Lighthouse Dr, Racine, WI 53402-3113 | 2006-08-20 |
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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.