Shyam Kiran Gandam Venkata (NPI# 1629332754, PAC ID# 2163790387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1629332754 |
| PAC ID by PECOS | 2163790387 |
| Professional Enrollment ID | I20170612003004 |
| Full Name | Shyam Kiran Gandam Venkata |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Address |
701 N 1st St Rm B146 Springfield IL 62781-3757 |
| Phone Number | 2175287541 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547166076 |
| Number of Group Practice Members | 538 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 701 N 1st St Rm, B146, Springfield, IL 62781-3757 | 2175287541 | SPRINGFIELD CLINIC LLP |
| Organization Legal Name | SPRINGFIELD CLINIC LLP |
| Physicians | 568 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica L Akers | Nurse Practitioner | Springfield Clinic LLP | 505 E Grant St, Suite 110, Macomb, IL 61455-3394 |
| Kelsey K. Kniepmann | Registered Dietitian Or Nutrition Professional | Springfield Clinic LLP | 350 W Carpenter St, Springfield, IL 62702-4902 |
| Jessica M Sestak | Nurse Practitioner | Springfield Clinic LLP | 15 Founders Ln, Jacksonville, IL 62650-3919 |
| Elijah Kim | General Surgery | Springfield Clinic LLP | 301 N 8th St 6th Flr, St John Pavilion, Springfield, IL 62701-1041 |
| Rajesh Banderudrappagari | Hematology/oncology | Springfield Clinic LLP | 1215 Franciscan Dr 2nd Flr, Litchfield, IL 62056-1778 |
| Jared Bernard | Critical Care (intensivists) | Springfield Clinic LLP | 301 N 8th St 3rd Flr Rm, Suite 134, Springfield, IL 62701-1041 |
| Rabia Asghar | Endocrinology | Springfield Clinic LLP | 20613 N Broad St, Carlinville, IL 62626-3720 |
| Tonya L. Heim | Nurse Practitioner | Springfield Clinic LLP | 901 S Koke Mill Rd, Springfield, IL 62711-8012 |
| Amanda L. House | Nurse Practitioner | Springfield Clinic LLP | 800 E Carpenter Rm, 2k20, Springfield, IL 62702-5324 |
| Brenda S Reiling | Physical Therapy | Springfield Clinic LLP | 100 Marion Pkwy, Suite 149, Sherman, IL 62684-9673 |
| Street Address |
701 N 1ST ST RM B146 |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62781-3757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Oneal | Internal Medicine | Springfield Clinic LLP | 701 N 1st St Rm, B146, Springfield, IL 62781-3757 |
| Rakshit Ramanath Shetty | Critical Care (intensivists) | Springfield Clinic LLP | 701 N 1st St Rm, G310 Gastrointestinal Assoc, Springfield, IL 62781-0001 |
| Krishna P Aparanji | Critical Care (intensivists) | Springfield Clinic LLP | 701 N 1st St Rm, B146, Springfield, IL 62781-3757 |
| Sapna Siddharth | Critical Care (intensivists) | Springfield Clinic LLP | 701 N 1st St Rm, B146, Springfield, IL 62781-3757 |
| Robert E Weitzel Jr. | Internal Medicine | Springfield Clinic LLP | 701 N 1st St Rm, B146, Springfield, IL 62781-3757 |
| Didar Singh | Internal Medicine | Springfield Clinic LLP | 701 N 1st St Rm, B146, Springfield, IL 62781-3757 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol A Gorden | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Ann R Larson | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Kelsey A Wallace | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Heidi L Phillips | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Jeff F Wang | Pathology | Pathology Associates of Central Illinois Ltd | 701 N 1st St, Springfield, IL 62781-0001 |
| Christopher Matthew Bradbury | Radiation Oncology | University Radiologists Sc | 701 N 1st St, Springfield, IL 62781-0001 |
| Robert W Cox | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Amber H Smith | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Elise Berard Arnold | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| William K Janes | Certified Registered Nurse Anesthetist (crna) | Memorial Medical Center | 701 N 1st St, Springfield, IL 62781-0001 |
| Find all physicians in zip 62781 | |||
| City | SPRINGFIELD |
| Zip Code | 62781 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | SPRINGFIELD + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Shyam Kiran Gandam Venkata.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.