VIJAY G.T. KAMINENI (NPI# 1043278294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043278294 |
| Entity Type | Individual |
| Full Name | VIJAY G.T. KAMINENI |
| Credential | M.D. |
| Practice Address |
2500 N Detroit St Lagrange IN 46761-1158 |
| Mailing Address |
Po Box 236 Lagrange IN 46761-0236 |
| Practice Telephone | 2604632133 |
| Practice Fax Number | 2604633775 |
| Mailing Telephone | 2604632133 |
| Mailing Fax Number | 2604633775 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01061449A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200821610 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 N Sawyer Rd, Kendallville, IN 467552566 | 2603475592 | 2603475155 |
| Street Address |
2500 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518500 | Northeast Internal Medicine Associates,p.c | Internal Medicine | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2005-09-12 |
| 1447894639 | Taylor Abigail Smyth | Physician Assistant | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-10-31 |
| 1821644659 | Heather Kaye Fox | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-08-16 |
| 1700430527 | Brittney M Harmeyer | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2019-07-30 |
| 1578054193 | Megan Marie Buuck | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2018-05-21 |
| 1114449329 | Lauren Fiandt | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-10 |
| 1073034500 | Amber N Handshoe | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-07-06 |
| 1962941054 | Carole S Buchs | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2017-02-22 |
| 1801249834 | Eleonor Vanover | Physician Assistant | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2016-07-14 |
| 1861844037 | Courtney Boggs | Nurse Practitioner | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2016-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598077398 | Leslie Jean Ogilvy | Internal Medicine | 1524 Lafayette Pkwy, Lagrange, GA 30241-2566 | 2010-07-08 |
| 1831422484 | West Georgia Medical Group-lagrange | Internal Medicine | 142 Old Mill Rd, Lagrange, GA 30241-6704 | 2009-09-15 |
| 1578727293 | Ifeoma A Ojukwu | Internal Medicine | 147 Mallard Creek Run, Lagrange, OH 44050-9803 | 2008-07-11 |
| 1326241514 | Ronald William Mcquigg | Internal Medicine | 218 East Av, Lagrange, IL 60525 | 2007-06-06 |
| 1578698429 | Frederick William Kemen | Internal Medicine | Kentucky State Reformatory, 3001 W. Highway 146, Lagrange, KY 40032-0002 | 2007-02-22 |
| 1245307735 | Gary S Griffin | Internal Medicine | 1600 Vernon Rd, Suite G, Lagrange, GA 30240-4143 | 2006-11-29 |
| 1134183742 | Ravina V Kadam | Internal Medicine | 300 Medical Dr Ste 704, Lagrange, GA 30240-4130 | 2006-04-12 |
| 1174518500 | Northeast Internal Medicine Associates,p.c | Internal Medicine | 2500 N Detroit St, Lagrange, IN 46761-1158 | 2005-09-12 |
| 1255333456 | Amir Usman | Internal Medicine | 1602 Vernon Rd, Ste 400, Lagrange, GA 30240-4100 | 2005-06-01 |
| 1508868704 | Anil R Modi | Internal Medicine | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | 2005-06-01 |
| Find all providers in LAGRANGE | ||||
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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.