RAVI NISTALA (NPI# 1558464776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558464776 |
Entity Type | Individual |
Full Name | RAVI NISTALA |
Credential | MD |
Practice Address |
1101 Hospital Drive Columbia MO 65212 |
Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
Practice Telephone | 5738828788 |
Practice Fax Number | 5738823131 |
Mailing Telephone | 5738822259 |
Enumeration Date | 2006-09-06 |
Last Update Date | 2012-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 2009007875 | MO | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
2009007875 | MO | Allopathic & Osteopathic Physicians |
Street Address |
1101 HOSPITAL DRIVE |
City | COLUMBIA |
State | MO |
Zip Code | 65212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215986187 | Darcy D Folzenlogen | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-09 |
1184911174 | Nandhakumar Radhakrishnan | Speech-Language Pathologist | 1101 Hospital Drive, Columbia, MO 65205-7687 | 2011-06-29 |
1083811335 | Kari Lyn Martin | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-06-29 |
1992912968 | Jeffrey Paul North | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-05-17 |
1003984048 | Elisa M Amspacher | Nurse Practitioner | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-11-30 |
1730254327 | Ronald G Wheeland | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-11-21 |
1255388740 | Bert E Bachrach | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-28 |
1962459065 | Nasrollah Hakami | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-27 |
1417909466 | Stevan P Whitt | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-17 |
1497707996 | Hunter V Hofmann | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
Find all providers in zip 65212 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
1982924304 | Walter Garland Edwards Jr. | Internal Medicine | 6447 Eastshore Rd, Columbia, SC 29206-3305 | 2010-06-08 |
1215269568 | Zbylut Jozef Twardowski | Internal Medicine | 304 Devine Ct, Columbia, MO 65203-0218 | 2010-02-10 |
1578728283 | Cesar Yamil Cardona | Internal Medicine | 854 W. James Campbell Blvd., Ste. 101a, Columbia, TN 38401 | 2008-07-22 |
1639337835 | Muhammad Amir Rafiq | Internal Medicine | 1655 Bernardin Ave Ste 200, Columbia, SC 29204-2044 | 2008-05-26 |
1629235700 | Abdul Basit Usmani | Internal Medicine | 1655 Bernadin Ave, Suite 200, Columbia, SC 29204 | 2008-05-17 |
1134391733 | Renee Ann Ellis | Internal Medicine | 121 Park Central Drive Suite 200, Columbia Nephrology, Columbia, SC 29203 | 2008-03-24 |
1619156957 | Asha Lenora Bailey | Internal Medicine | 121 Park Central Drive, Suite 200, Columbia, SC 29203 | 2007-11-02 |
Find all providers in COLUMBIA |
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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.