MADHUSUDHAN PONNALA (NPI# 1558700914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558700914 |
| Entity Type | Individual |
| Full Name | MADHUSUDHAN PONNALA |
| Credential | MD |
| Practice Address |
503 N 21st St Camp Hill PA 17011-2204 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 7179724448 |
| Practice Fax Number | 7179727366 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | MD465055 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1035770640001 | 05 | |
| PA | MEDICARE | 717918 | 01 |
| Street Address |
503 N 21ST ST |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203294 | Janet F. Guisbert | Nurse Anesthetist, Certified Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2005-05-31 |
| 1942808779 | Tyler Bartol | Pharmacist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-10-14 |
| 1649894932 | Arne Sunyavivat Kotte | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2288 | 2020-06-02 |
| 1780206219 | Elizabeth Pritchard | Registered Nurse | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-05-06 |
| 1235762535 | Naisha Jahna Stoney-wallace | Nurse Practitioner | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-02-15 |
| 1578194569 | Sara Clauto | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2020-01-29 |
| 1598301087 | Giovanni V Brancaleone | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-20 |
| 1689219404 | Rachel Brosius | Dietitian, Registered | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-15 |
| 1417592932 | Valerie Lynn Kubalak | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-11-07 |
| 1770133654 | Garrett Kyle Steiber | Physician Assistant | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639639610 | Alison Souter | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2019-03-25 |
| 1871029504 | Rajesh Kumar Essrani | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2017-05-01 |
| 1770934382 | Aswani Nagabhairu | Hospitalist | 503 N 21st St, Camp Hill, PA 17011 | 2016-06-24 |
| 1356727804 | Edward Nwachukwu | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2015-08-07 |
| 1700260981 | Sham Lal | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2015-07-16 |
| 1154728715 | Ravi Athwani | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2014-11-25 |
| 1982025631 | Krishna Chalapathi Nemani | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2013-12-25 |
| 1578996914 | Khalid Nawab | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2013-08-20 |
| 1215224118 | Sharatkumar Rokkam | Hospitalist | 503 N 21st St, Camp Hill, PA 17011-2204 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1457839888 | Maria E. B. Leech | Hospitalist | 169 Martin Ave # 1002, Ephrata, PA 17522-1724 | 2018-07-28 |
| 1164932836 | Hammad Raza PC | Hospitalist | 100 Pratt Ln, West Chester, PA 19382-6980 | 2017-10-06 |
| 1073971750 | Inhospital Physicians Corp | Hospitalist | 653 Skippack Pike, Suite 317, Blue Bell, PA 19422-1742 | 2016-02-09 |
| 1659736320 | Katherine Gelinne | Hospitalist | 3400 Spruce St # 5023, Philadelphia, PA 19104-4238 | 2015-12-23 |
| 1154702090 | Joel Wagstaff | Hospitalist | 707 Hamilton Street, One City Center, 9th Floor, Allentown, PA 18104-8208 | 2015-06-16 |
| 1437537875 | Advanced Inpatient Medicine Lehigh PC | Hospitalist | 150 Ice Lake Dr, Mountain Top, PA 18707-9654 | 2015-05-18 |
| 1679980213 | Priyanka Jagar | Hospitalist | 5230 Towers Ter Ste 322, Pittsburgh, PA 15229-2231 | 2014-07-15 |
| 1952714834 | Omorinsola Oronti | Hospitalist | Phoenixville Hospital, 140 Nutt Road, Phoenixville, PA 19460-3906 | 2014-06-09 |
| 1679983340 | Xodo, LLC | Hospitalist | 239 E Edgewood Dr, Mc Murray, PA 15317-3355 | 2014-05-05 |
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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.