DR. MARUTHI V GOTTIMUKKALA


Address: 111 Medical Pkwy, Suite 300, Chesapeake, VA 23320-0302
Phone: 7575472233

DR. MARUTHI V GOTTIMUKKALA (NPI# 1861428518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861428518
Entity Type Individual
Full Name DR. MARUTHI V GOTTIMUKKALA
Credential MD
Practice Address 111 Medical Pkwy
Suite 300
Chesapeake
VA 23320-0302
Mailing Address 205 Business Park Dr
Suite 200
Virginia Beach
VA 23462-6335
Practice Telephone 7575472233
Practice Fax Number 7579621254
Mailing Telephone 7579621083
Mailing Fax Number 7579621254
Enumeration Date 2006-06-24
Last Update Date 2011-08-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
0101041083 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC NC BC/BS 0604X 01
VA USA MANAGED CARE PAR 01
VA 010226805 05
VA ANTHEM 295590 01
VA AETNA PAR 01
VA CORVEL/CORCARE PAR 01
VA UHC/MAMSI 413773 01
VA VIRGINIA HEALTH NETWORK PAR 01
VA TRICARE CHAMPUS -001 01
VA MAMSI 313773 01
VA FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY PAR 01
VA 1861428518 05
VA MULTIPLAN PAR 01
VA VIRGINIA PREMIER HEALTH PAR 01
NC 890604X 05
VA OPTIMA HEALTH PLAN 15848 01
VA SENTARA OPTIMA 10015737 01
VA ANTHEM BC/BS 187095 01
VA CIGNA PAR 01

Office Location

Street Address 111 MEDICAL PKWY
SUITE 300
City CHESAPEAKE
State VA
Zip Code 23320-0302

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528059862 Philip John Gentlesk Internal Medicine 111 Medical Pkwy, Suite 300, Chesapeake, VA 23320-0302 2005-11-04
1952721219 Ciera Butts Obstetrics & Gynecology 111 Medical Pkwy, Chesapeake, VA 23320 2014-04-24
1871931576 Melissa Margaret Marsiglia Nurse Practitioner 111 Medical Pkwy, 2nd and 3rd Floor, Chesapeake, VA 23320-0302 2013-06-05
1831440189 Keshia Avant Brown Physician Assistant 111 Medical Pkwy, 2nd Floor, Chesapeake, VA 23320-0302 2012-09-26
1104083971 Michael P Grimes Obstetrics & Gynecology 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 2008-05-20
1831293604 Bio-medical Applications of Virginia, Inc. Clinic/Center 111 Medical Pkwy, Suite 100, Chesapeake, VA 23320-0302 2006-09-12
1912014093 Khadijah Y. Jordan, Md.,pc Obstetrics & Gynecology 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 2006-08-24
1528022688 Khadijah Yasin Jordan Obstetrics & Gynecology 111 Medical Pkwy, Suite 202, Chesapeake, VA 23320-0302 2006-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386263499 Trinity Hospice 1, LLC Hospice Care, Community Based 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 2020-04-09
1538624804 Shaniqah Mcleod Home Health 217 Centerville Turnpike N, Chesapeake, VA 23320 2019-01-31
1942764113 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1400 Kempsville Rd, Virginia Beach, VA 23320 2019-01-22
1639647993 Madison Vansavage Maben Orthotist 433 Network Sta, Chesapeake, VA 23320 2018-11-05
1568947356 Kelly M Muchetti Massage Therapist 1421 C. Kempsville Rd., Chesapeake, VA 23320 2018-09-27
1235612912 L&s Home Health Care, LLC. Home Health 1545 Cossways Blv, Chesepeake, VA 23320 2018-09-10
1154803500 Latricia A Patterson Home Health 813-a Professional Pl Ste 107, Chesapeake, VA 23320 2018-09-02
1164909586 4k Tresses Durable Medical Equipment & Medical Supplies 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 2018-07-27
1831676105 Lance Taylor Technician 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 2018-07-19
1023507688 Sentoria Howell Harold Social Worker 920 Ventures Way Ste 4, Chesapeake, VA 23320 2018-05-08
Find all providers in zip 23320

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265954747 Sentara Medical Group Internal Medicine 1933 Edwin Dr Ste 208a, Chesapeake, VA 23322-6531 2017-07-17
1962450684 David Krause Internal Medicine 612 Kingsborough Sq Ste 100, Chesapeake, VA 23320 2006-05-05
1609841394 John Milton Herre Internal Medicine 300 Medical Pkwy Ste 120, Chesapeake, VA 23320-4985 2006-02-17
1528059862 Philip John Gentlesk Internal Medicine 111 Medical Pkwy, Suite 300, Chesapeake, VA 23320-0302 2005-11-04
1760483325 Kurt Frederick Strosahl Internal Medicine 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 2005-08-04
1245261650 Sanjay G Shah Internal Medicine 300 Medical Pkwy, Suite 120, Chesapeake, VA 23320-4985 2006-07-05
1932139326 Venkat R Iyer Internal Medicine 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 2006-07-03
1528012234 Ian F Woollett Internal Medicine 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-4986 2006-05-19
1114971918 Cardiovascular Associates Ltd Internal Medicine 612 Kingsborough Sq, Suite 100, Chesapeake, VA 23320-5041 2006-05-19
1558310268 Eric L Schwartzman Internal Medicine 612 Kingsborough Square, Ste 100, Chesapeake, VA 23320-5041 2006-05-09
Find all providers in CHESAPEAKE

Competitor

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City CHESAPEAKE
Zip Code 23320

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Dataset Information

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.

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