PESARA P REDDY (NPI# 1548233190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548233190 |
| Entity Type | Individual |
| Full Name | PESARA P REDDY |
| Credential | M.D. |
| Practice Address |
2500 W 12th St The Regional Cancer Ctr Erie PA 16505 |
| Practice Telephone | 8148359000 |
| Practice Fax Number | 8148380443 |
| Mailing Telephone | 8148359000 |
| Mailing Fax Number | 8148380443 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2010-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD034289L | PA | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
MD034289L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2193611 | 05 | |
| PA | 0006903140001 | 05 |
| Street Address |
2500 W 12TH ST THE REGIONAL CANCER CTR |
| City | ERIE |
| State | PA |
| Zip Code | 16505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780245 | Holly Elizabeth Skala | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2005-06-20 |
| 1023553203 | Christina Peterson | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-12-27 |
| 1720530710 | Susan Roberta Marshall-erven | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-10-26 |
| 1720535198 | Sharon Burgert | Specialist | 2500 W 12th St, Erie, PA 16505-4500 | 2016-09-02 |
| 1114329513 | Morgan Hilinski | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2014-09-17 |
| 1083952055 | Kaitlyn Mackey | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2013-01-24 |
| 1659567006 | Emily Lynn Hesch | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2007-09-19 |
| 1568655504 | The Regional Cancer Center | Pharmacy | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1417140450 | The Regional Cancer Center | Clinical Medical Laboratory | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1629117197 | Susan M Roche | Registered Nurse | 2500 W 12th St, Erie, PA 16505-4508 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558449033 | Myles E Lampenfeld | Radiology | 2500 W 12th St Ste A, Erie, PA 16505-4500 | 2006-11-01 |
| 1962431007 | Emily Louise Militzer | Radiology | The Regional Cancer Center, 2500 W 12th St, Erie, PA 16505 | 2006-07-01 |
| 1548216195 | Raymond B. Wynn | Radiology | 2500 West 12th Street, Upmc Regional Cancer Center, Erie, PA 16505 | 2006-05-25 |
| 1104822543 | Conrad J Stachelek | Radiology | 2508 Myrtle Street, Suite 100, Erie, PA 16505-2700 | 2005-06-21 |
| 1740404516 | Andrew Thomas Figura | Radiology | 2508 Myrtle Street, Suite 100, Erie, PA 16502-2700 | 2007-04-12 |
| 1073505244 | Kevin Andrew Fisher | Radiology | 2500 W 12th St, Erie, PA 16505-4508 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
| 1790027662 | George Edward Mccarthy Jr. | Radiology | 419 Riverview Rd, Swarthmore, PA 19081-1222 | 2013-03-19 |
| 1891033619 | Melvin Fisher Strockbine | Radiology | 805 Michigan Ave, Lemoyne, PA 17043-1207 | 2013-01-29 |
| 1558611947 | East Coast Radiation Oncology PC | Radiology | 1701 E Broad St, Hazleton, PA 18201-5621 | 2012-09-13 |
| 1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
| 1053684449 | Donald E. Red | Radiology | 741 Hillview Rd, Malvern, PA 19355-3430 | 2012-02-15 |
| 1972875763 | Gregory Christopher Treharne | Radiology | 100 One Norwegian Plaza, Pottsville, PA 17901-6029 | 2012-02-08 |
| 1215209382 | Melvyn Paul Richter | Radiology | 335 Waring Rd, Elkins Park, PA 19027 | 2012-02-03 |
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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.