JAVANTHI THEEGALA (NPI# 1003430331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003430331 |
| Entity Type | Individual |
| Full Name | JAVANTHI THEEGALA |
| Practice Address |
1010 N Kansas St Wichita KS 67214-3124 |
| Practice Telephone | 3162932665 |
| Mailing Telephone | 3162932665 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
94-10256 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
1010 N KANSAS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557894 | Brenda A Issa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2006-02-15 |
| 1144845736 | Daniel Yassa | Pediatrics | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-10 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1205451085 | David Masolak | Psychiatry & Neurology | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1891310678 | Beau Fry | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1861016834 | Abhiram Challa | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1598389611 | Garrett Westman | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-04 |
| 1174147318 | Garrett Walker | Family Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-03 |
| 1932722394 | Nicholas Tuck | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
| 1730702176 | Eric Acosta | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1790190791 | Susanna Ciccolari Micaldi | Psychiatry & Neurology | 1001 N. Minneapolis St, Wichita, KS 67214-3127 | 2014-06-27 |
| 1235563388 | Brian Everett Romalis | Psychiatry & Neurology | 7507 E Huntington St, Wichita, KS 67206-3225 | 2013-08-26 |
| 1649603655 | Cristina Cosico Rustia | Psychiatry & Neurology | 7720 E Morris St, Wichita, KS 67207-2324 | 2013-08-13 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1174780118 | M.h. Shah, M.d. | Psychiatry & Neurology | 1148 S Hillside St Ste 104, Wichita, KS 67211-4005 | 2008-05-19 |
| 1669671707 | Christi Lorraine Leach | Psychiatry & Neurology | 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 | 2007-07-17 |
| 1720284250 | Trever Allen Krehbiel | Psychiatry & Neurology | 6432 E 34th St N Ste 100, Wichita, KS 67226-2537 | 2007-06-22 |
| 1871715086 | Rhanda Marie M Eboh | Psychiatry & Neurology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-05-03 |
| 1780800326 | Achutha N. Reddy, M.d., P. A. | Psychiatry & Neurology | 1871 W 21st St N, Wichita, KS 67203-2104 | 2007-04-18 |
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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.