Vamshidhar D Guduguntla (NPI# 1174525729, PAC ID# 2567549660) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1174525729 |
| PAC ID by PECOS | 2567549660 |
| Professional Enrollment ID | I20080414000078 |
| Full Name | Vamshidhar D Guduguntla |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
25195 Kelly Rd Suite A Roseville MI 48066-4909 |
| Phone Number | 5867754594 |
| Gender | M |
| Graduation Year | 1987 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | ASCENSION ST JOHN HOSPITAL | |
| 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | 5867710100 | CENTER FOR PREVENTIVE MEDICINE PC |
| 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 3133434000 | ASCENSION ST JOHN HOSPITAL |
| 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2489677000 | ASCENSION MACOMB OAKLAND HOSPITAL |
| 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 5867754594 | ASCENSION ST JOHN HOSPITAL |
| 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 5865735000 | ASCENSION MACOMB OAKLAND HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette E Wilson | Family Medicine | Ascension St John Hospital | 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 |
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Nishan H Chobanian | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 |
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Julia K Tesch | Internal Medicine | Ascension St John Hospital | 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660 |
| Eileen M Reickert | Family Medicine | Ascension St John Hospital | 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| John W Becker | Otolaryngology | Ascension St John Hospital | 11080 Hall Rd A, Sterling Heights, MI 48314-1511 |
| Susan E Lyons | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Street Address |
25195 KELLY RD SUITE A |
| City | ROSEVILLE |
| State | MI |
| Zip | 48066-4909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisha Johnson | Nurse Practitioner | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Srihari Ravi | Cardiovascular Disease (cardiology) | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Douglas Moore | Cardiac Electrophysiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Hani Kador | Cardiovascular Disease (cardiology) | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Antonious S Attallah | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Kishan K Jasti | Cardiovascular Disease (cardiology) | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Mohamed A El-haddad | Cardiovascular Disease (cardiology) | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Hiroshi Yamasaki | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Katherine A Paquette | Nurse Practitioner | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Paul Chacko | Cardiac Electrophysiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Stern | Psychologist, Clinical | 18245 Ten Mile Rd, Suite 140, Roseville, MI 48066 | |
| Gulshan Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Ruchika Chandna | Occupational Therapy | Theramax Rehab Inc | 18790 E 13 Mile Rd G, Roseville, MI 48066-1383 |
| Christie Ann Schunemann | Nurse Practitioner | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Anil Singh | Internal Medicine | Mclaren Macomb | 30550 Utica Rd, Roseville, MI 48066-1528 |
| Cari L Mcclellan | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Ambika Kunnath Puliyakote | Physical Therapy | Farmington Physical Therapy Inc | 30785 Gratiot Ave, Roseville, MI 48066-1712 |
| Lisa S Lee | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Cora Coleman | Clinical Social Worker | Open Heart Community Care Services Inc | 28491 Utica Rd, Roseville, MI 48066-2593 |
| Jennifer D Noricks | Clinical Social Worker | 28491 Utica Rd, Roseville, MI 48066-2593 | |
| Find all physicians in zip 48066 | |||
| City | ROSEVILLE |
| Zip Code | 48066 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | ROSEVILLE + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Vamshidhar D Guduguntla.
| 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.