BHASKARA V.V.B. GADI (NPI# 1821057365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821057365 |
| Entity Type | Individual |
| Full Name | BHASKARA V.V.B. GADI |
| Other Name | RAGHAVARAO V. GADI |
| Credential | M.D. |
| Practice Address |
1350 Us Highway 61 Festus MO 63028 |
| Mailing Address |
1350 Us Highway 61 Festus MO 63028-4124 |
| Practice Telephone | 6369313655 |
| Practice Fax Number | 6369330293 |
| Mailing Telephone | 6369313655 |
| Mailing Fax Number | 6369330293 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2013015144 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RR MEDICARE | P01321591 | 01 |
| MO | 200589660B | 05 | |
| MO | RR MEDICARE | P01230378 | 01 |
| MO | 1821057365 | 05 | |
| MEDCOST | 199168 | 01 | |
| AETNA | 7984868 | 01 | |
| PARTNERS | 810504 | 01 | |
| BCBS | 145HU | 01 | |
| NC | 5906822 | 05 | |
| SC | Q00039H | 05 | |
| AR | 158716001 | 05 | |
| VA | 1821057365 | 05 | |
| KS | 200589660C | 05 | |
| WV | 3810009175 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1420 Us Highway 61, Festus, MO 63028 | 6369313655 | 6369330293 |
| Street Address |
1350 US HIGHWAY 61 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528503695 | Amanda Jane Hansen | Registered Nurse | 1350 Us Highway 61, Festus, MO 63028-4124 | 2016-12-28 |
| 1295812733 | Craig S Siegel | Internal Medicine | 1350 Us Highway 61, Festus, MO 63028-4124 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1538564620 | Bader Alahmari | Internal Medicine | 660 South Euclid Avenue Campus Box 8007, St Louis, MO 63110 | 2014-10-31 |
| 1235480708 | James Michael Epstein | Internal Medicine | 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2012-09-25 |
| 1285920694 | Zhineng Jayson Yang | Internal Medicine | 2529 Glenn Hendren Dr Ste G30, Liberty, MO 64068-9610 | 2011-06-23 |
| 1477782092 | Tamara V Hopkins, Md, LLC | Internal Medicine | 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 | 2009-07-02 |
| 1457591463 | David Douglas Westhoff | Internal Medicine | 3605 Missouri Blvd, Jefferson City, MO 65109-7111 | 2009-03-03 |
| 1629224357 | Vinay Gupta | Internal Medicine | 110 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6075 | 2008-08-13 |
| 1942456058 | Anuj Shrestha | Internal Medicine | 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 | 2008-08-09 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1326235797 | Getinet Degu Ayalew | Internal Medicine | 12277 De Paul Dr Ste 100, Bridgeton, MO 63044-2577 | 2007-10-01 |
| 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.