PADMAJA PUPPALA (NPI# 1558592428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558592428 |
| Entity Type | Individual |
| Full Name | PADMAJA PUPPALA |
| Credential | MD |
| Practice Address |
2116 Canyon Park Dr Southlake TX 76092 |
| Practice Telephone | 8173009166 |
| Mailing Telephone | 8173009166 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
253106 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2116 CANYON PARK DR |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427666353 | Fresh Start Psychiatric Clinic | Psychiatry & Neurology | 9843 Blaine Lake Dr, Houston, TX 77086-2878 | 2020-07-16 |
| 1558776138 | Ivanshu Navinprakash Jain | Psychiatry & Neurology | Terrell State Hospital, 1200 E Brin St, Terrell, TX 75160 | 2014-06-23 |
| 1710143813 | Professional Medical Services | Psychiatry & Neurology | 35 Juniper Grove Pl, The Woodlands, TX 77382-4403 | 2008-07-29 |
| 1679609093 | Julie Ross Pittman | Psychiatry & Neurology | 3602 Matlock Rd Ste 210, Arlington, TX 76015-3600 | 2007-02-27 |
| 1033263009 | John R Marshall | Psychiatry & Neurology | 1107 N Cooper St, Arlington, TX 76011-5545 | 2007-01-23 |
| 1760536999 | Robert B Hunter | Psychiatry & Neurology | 2404 Kingston St, Houston, TX 77019-6604 | 2007-01-23 |
| 1487731758 | Beth Kratochvil Boyarsky | Psychiatry & Neurology | 711 N College St, Georgetown, TX 78626 | 2006-11-01 |
| 1801972385 | Robert Storey Wilson Sr. | Psychiatry & Neurology | 1100 N Mccart St, Stephenville, TX 76401-2430 | 2006-10-27 |
| 1427064062 | Luz Starck | Psychiatry & Neurology | 12050 Vance Jackson Building 2 Suite 201, San Antonio, TX 78230 | 2006-08-01 |
| 1679568794 | Donald Ray Fulsom | Psychiatry & Neurology | 401 E Front St, Tyler, TX 75702-8213 | 2005-09-14 |
| Find all providers with the same taxonomy | ||||
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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.