KRISHNA VANAM (NPI# 1841636305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841636305 |
| Entity Type | Individual |
| Full Name | KRISHNA VANAM |
| Credential | D.O. |
| Practice Address |
10101 Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
566 Ruin Creek Rd Henderson NC 27536-2927 |
| Practice Telephone | 5617988500 |
| Mailing Telephone | 2524384143 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2016-00898 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10101 FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788667 | Leonid Zaslavskiy | Anesthesiology | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2005-08-26 |
| 1033734462 | Stacey Ann Loffredo | Nurse Anesthetist, Certified Registered | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-06-11 |
| 1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
| 1053940320 | Courtney Konchan | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-07 |
| 1841829744 | Mirsha Stiven | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-03 |
| 1912534520 | Ashleigh Dugas Dupuy | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-03-24 |
| 1982163515 | Winta Haile Assefaw | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1629537287 | Anastasia Veresciac | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1609334531 | Tamara Coleburn | Nurse Practitioner | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-11 |
| 1811455173 | Andrea Erickson | Physician Assistant | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1619511904 | Palm Beach Elder Care LLC | Internal Medicine | 15686 Bent Creek Rd, Wellington, FL 33414-6317 | 2019-10-30 |
| 1255706065 | Suzette Marshalyn Prendergast | Internal Medicine | 2832 Shaughnessy Dr, Wellington, FL 33414-6496 | 2015-12-04 |
| 1538540117 | John David | Internal Medicine | 3343 S State Road 7, Wellington, FL 33449-8082 | 2015-06-09 |
| 1922409564 | Romesh Senani Gooneratne | Internal Medicine | 3347 State Road 7 Ste 206, Wellington, FL 33449-8095 | 2014-09-15 |
| 1306257217 | Oksana Sambirska | Internal Medicine | 1397 Medical Park Blvd Ste 100, Wellington, FL 33414-3187 | 2014-05-13 |
| 1871931790 | Bilal Shaikh | Internal Medicine | 13577 Brightstone St, Wellington, FL 33414-8902 | 2013-06-13 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1528296977 | Naveen Venugopala Reddy | Internal Medicine | 1397 Medical Park Blvd Ste 380, Wellington, FL 33414-3188 | 2009-06-24 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.