DR. KALYANI R MEDURI (NPI# 1558513168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558513168 |
| Entity Type | Individual |
| Full Name | DR. KALYANI R MEDURI |
| Credential | MD, MS |
| Practice Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5702885441 |
| Practice Fax Number | 5702889613 |
| Mailing Telephone | 5702885441 |
| Mailing Fax Number | 5702889613 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 39329 | IA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036121876 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD456022 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
610 WYOMING AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397673 | Intermountain Medical Group, Inc | Dietitian, Registered | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-05-26 |
| 1740723675 | Ashley K Marsh | Physician Assistant | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2016-11-26 |
| 1780847657 | Seema Kumari | Family Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2008-07-09 |
| 1710151527 | Karthik Penumetsa | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2008-04-14 |
| 1245423367 | Jaromir Kohout | Surgery | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2007-08-22 |
| 1932271624 | Intermountain Medical Group, Inc | Clinical Medical Laboratory | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-11-15 |
| 1487755591 | David F Rimple | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-09-25 |
| 1265545990 | Richard Abramowitz | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-16 |
| 1568475820 | Daniel K Silverstein | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-15 |
| 1215940580 | Cynthia Solomon | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1508802315 | Hudson Valley Gastroenterology PC | Internal Medicine | 26 Pearl St, Kingston, NY 12401-4522 | 2006-06-21 |
| 1285615823 | Michael L Steckman | Internal Medicine | 26 Pearl Street, Kingston, NY 12401 | 2005-11-10 |
| 1154316826 | Howard N Garson | Internal Medicine | 27 Grand St, Kingston, NY 12401-3933 | 2005-09-19 |
| 1346598745 | D.k Shah Md PC | Internal Medicine | 33 Grand St, Grand Street Gastroenterology, Kingston, NY 12401-3933 | 2012-08-16 |
| 1083931075 | Daniel Blachman | Internal Medicine | 26 Pearl St, Kingston, NY 12401-4522 | 2010-04-29 |
| 1922034735 | Richard D Michelstein | Internal Medicine | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2006-06-23 |
| 1891734810 | Hal N. Buch, Md PC | Internal Medicine | 117 Marys Ave, Suite 201, Kingston, NY 12401-5849 | 2006-06-05 |
| 1437130085 | Kevin K Dodd | Internal Medicine | 26 Pearl Street, Kingston, NY 12401 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
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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.