DR. VIJAYA K KOMMAREDDI (NPI# 1679772891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679772891 |
| Entity Type | Individual |
| Full Name | DR. VIJAYA K KOMMAREDDI |
| Other Name | DR. VIJAYA K KOMMAREDDI |
| Credential | MD |
| Practice Address |
3701 Loop Road Suite 210 Va Medical Center Tuscaloosa AL 35405 |
| Mailing Address |
3701 Loop Road Suite 210 Va Medical Center Tuscaloosa AL 35405-4998 |
| Practice Telephone | 2055542000 |
| Mailing Telephone | 2055542000 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2011-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301089295 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3701 LOOP ROAD SUITE 210 VA MEDICAL CENTER |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1912043977 | James Fullerton Hooper Iv | Psychiatry & Neurology | 1001 Mimosa Park Road, Tuscaloosa, AL 35405 | 2007-01-29 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1922657147 | Julie Anna Wright | Internal Medicine | 100 Rice Mine Rd N Ste 100, Tuscaloosa, AL 35406-3905 | 2019-09-10 |
| 1689146250 | Faith Internal Medicine PC | Internal Medicine | 755 55th Pl E, Tuscaloosa, AL 35405-4140 | 2018-12-20 |
| 1376035543 | North River Internal Medicine | Internal Medicine | 100 Rice Mine Rd N Suite 150, Tuscaloosa, AL 35406-2375 | 2018-06-04 |
| 1811251291 | Jim Patrick Ellison | Internal Medicine | 100 Rice Mine Rd N Ste B, Tuscaloosa, AL 35406-2375 | 2012-06-29 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1679774384 | Nada Bashir Memon | Internal Medicine | 701 University Blvd E Ste 809, Dch Regional Medical Center, Tuscaloosa, AL 35401-7479 | 2007-05-30 |
| 1134336886 | Keisha Gibson Lowther | Internal Medicine | 6531 Highway 69 S, Suite A, Tuscaloosa, AL 35405-4087 | 2007-05-16 |
| 1275673196 | Leon H Campbell Jr. | Internal Medicine | 2720 7th St, Tuscaloosa, AL 35401-1806 | 2007-02-08 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| 1912008491 | George P Miller | Internal Medicine | 1100 Ruby Tyler Pkwy, Tuscaloosa, AL 35404-2959 | 2006-09-26 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
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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.