Vijaya Dhanireddy Boyella (NPI# 1932263993, PAC ID# 4284737362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1932263993 |
| PAC ID by PECOS | 4284737362 |
| Professional Enrollment ID | I20160510001539 |
| Full Name | Vijaya Dhanireddy Boyella |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Address |
701 Mcqueen Smith Rd S Prattville AL 36066-7503 |
| Phone Number | 3343512040 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 0547254153 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010024 | JACKSON HOSPITAL & CLINIC INC |
| 010006 | ELIZA COFFEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 Veterans Dr, Florence, AL 35630-4928 | 2566291000 | ECM HEALTH GROUP LLC |
| 1722 Pine St, Montgomery, AL 36106-1158 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 1722 Pine St, Suite 406, Montgomery, AL 36106-1159 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 1725 Pine St, Montgomery, AL 36106-1109 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 1801 Pine St, Montgomery, AL 36106-1154 | JACKSON HOSPITAL AND CLINIC, INC. | |
| 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | 3343512040 | JACKSON HOSPITAL AND CLINIC, INC. |
| 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 | JACKSON HOSPITAL AND CLINIC, INC. |
| Organization Legal Name | JACKSON HOSPITAL AND CLINIC, INC. |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Brooke A Robinson | Family Medicine | Jackson Hospital and Clinic, Inc. | 4150 Carmichael Rd, Suite B, Montgomery, AL 36106-2933 |
| Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Susan W Aguiar | Otolaryngology | Jackson Hospital and Clinic, Inc. | 1111 Olive St, Montgomery, AL 36106-1129 |
| Ravichandra R Boyella | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1758 Park Pl, Suite 300, Montgomery, AL 36106-1137 |
| Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| William Saliski | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 44 Medical Arts Ct, Greenville, AL 36037-3869 |
| Christopher J Waguespack | Internal Medicine | Jackson Hospital and Clinic, Inc. | 11123 Chantilly Pkwy Ct, Pike Road, AL 36064-2880 |
| Howard Brazil | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 707 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Gregory P Jones | Family Medicine | Jackson Hospital and Clinic, Inc. | 80 Herren Hill Rd, Suite C, Tallassee, AL 36078-1264 |
| Street Address |
701 MCQUEEN SMITH RD S |
| City | PRATTVILLE |
| State | AL |
| Zip | 36066-7503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodie M Shedd | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Jade Hoy | Family Medicine | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Jennifer M Groff | Nurse Practitioner | Jackson Hospital and Clinic, Inc. | 701 Mcqueen Smith Rd S, Prattville, AL 36066-7503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mann | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Meloni N Carter | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Wendy Mcfarland Cavey | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Maarten Wybenga | Family Medicine | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Amy M Wybenga | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Leigh Anne Luna | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 601 Jasmine Trl, Prattville, AL 36066-3661 |
| Melanie A Lawrenc | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| George N Eischens | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| Find all physicians in zip 36066 | |||
| City | PRATTVILLE |
| Zip Code | 36066 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PRATTVILLE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Vijaya Dhanireddy Boyella.
| 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.