VARDHAN REDDY (NPI# 1568450245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568450245 |
| Entity Type | Individual |
| Full Name | VARDHAN REDDY |
| Credential | M.D. |
| Practice Address |
651 Colliers Way Ste 408 Weirton WV 26062-5055 |
| Mailing Address |
504 Greenbrier Ct Steubenville OH 43953-3335 |
| Practice Telephone | 7402663240 |
| Practice Fax Number | 3042663244 |
| Mailing Telephone | 7402663240 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD417270 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OH35079717 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 1840202000 | 05 | |
| OH | 2461992 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 W 6th St, East Liverpool, OH 439202812 | 3303680700 | 3303680937 |
| Street Address |
651 COLLIERS WAY STE 408 |
| City | WEIRTON |
| State | WV |
| Zip Code | 26062-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357935 | Hancock County School District | Speech-Language Pathologist | 3248 Pennsylvania Avenue, Weirton, WV 26062 | 2020-08-17 |
| 1982105441 | Maria Baldwin | Nurse Practitioner | 131 American Way, Weirten, WV 26062 | 2018-02-21 |
| 1194236604 | Rachel Lahita | Occupational Therapy Assistant | 3205 Rear Orchard St, Weirton, WV 26062 | 2017-10-24 |
| 1912424623 | Soleo Health Inc | Pharmacy | 204 Three Springs Dr Ste B, Weirton, WV 26062 | 2017-08-23 |
| 1255853313 | Kelli Elise Brooks | Dentist | 389 American Way, Weirton, WV 26062 | 2017-07-11 |
| 1750745030 | Jessica Bee | Pharmacist | 3901 Brightway, Weirton, WV 26062 | 2016-04-12 |
| 1396155487 | Jay Wyn LLC | Assisted Living Facility | 608 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1689084790 | Jay Wyn L.l.c | Assisted Living Facility | 610 North 10th Street, Weirton, WV 26062 | 2014-04-29 |
| 1750706503 | Patrick T Long Jr. | Massage Therapist | 3709 Collins Way, Weirton, WV 26062 | 2014-03-03 |
| 1689928921 | Austin Gregory White | Optometrist | 400 Three Springs Drive, Weirton, WV 26062 | 2012-11-08 |
| Find all providers in zip 26062 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961852 | Usa Vein Clinics of Morgantown Pllc | Surgery | 1010 Suncrest Towne Centre Drive, Morgantown, WV 26505-0000 | 2020-01-10 |
| 1740749928 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 4141 Teays Valley Rd, Hurricane, WV 25526-9772 | 2019-03-18 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1538661848 | East Mountain Health Physicians, Inc. | Surgery | 1000 Tavern Rd Ste 200, Martinsburg, WV 25401-2853 | 2018-03-02 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1922230218 | Beckley Vascular Associates & Vein Care Institute,pllc | Surgery | 120 George Street, Beckley, WV 25801-2608 | 2009-08-20 |
| 1154581973 | Maryland Surgical Care PC | Surgery | 710 Somerset Blvd Ste 103, Charles Town, WV 25414-4998 | 2008-06-16 |
| 1790731503 | Wheeling Heart Institute Inc | Surgery | 1021 Mt Dechantal Road, Wheeling, WV 26003 | 2006-05-25 |
| 1679567325 | Randall V Lester | Surgery | 510 Cherry St, Suite 206, Bldg A, Bluefield, WV 24701-3338 | 2005-09-08 |
| 1710504048 | Foot and Ankle Clinic of The Virginias Inc | Surgery | 6007 Us Route 60 E Ste 228, Barboursville, WV 25504-1042 | 2020-07-02 |
| 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.