DR. SOUMYA CHOWDARY MADALA (NPI# 1043334527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043334527 |
| Entity Type | Individual |
| Full Name | DR. SOUMYA CHOWDARY MADALA |
| Other Name | DR. SOUMYA TALASILA |
| Credential | M.D. |
| Practice Address |
260 Jefferson Ave Se Ste 300 Grand Rapids MI 49503-4597 |
| Mailing Address |
245 State St Se Ste 228 Grand Rapids MI 49503-4328 |
| Practice Telephone | 6166856330 |
| Practice Fax Number | 6166853010 |
| Mailing Telephone | 6166851808 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301085495 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
4301085495 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
260 JEFFERSON AVE SE STE 300 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184731333 | William Henry Baer II | Internal Medicine | 260 Jefferson Ave Se, Suite 115, Grand Rapids, MI 49503-4597 | 2006-08-24 |
| 1073139895 | Jason Thornton King | Anesthesiology | 260 Jefferson Ave Se, Jefferson Suite 305, Grand Rapids, MI 49503 | 2020-06-17 |
| 1114172921 | Rebecca Ann Luders | Nurse Practitioner | 260 Jefferson Ave Se, 206, Grand Rapids, MI 49503-4597 | 2008-11-20 |
| 1962660092 | Michigan Medical Patient Care | Internal Medicine | 260 Jefferson Ave Se, Grand Rapids, MI 49503-4597 | 2008-05-27 |
| 1629261235 | John J Stepanovich Dds | Dentist | 260 Jefferson Ave Se, Grand Rapids, MI 49503-4597 | 2007-08-27 |
| 1235188665 | John J Stepanovich | Dentist | 260 Jefferson Ave Se, Grand Rapids, MI 49503-4597 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821232455 | Kelly Anne Waters | Internal Medicine | 4100 Lake Dr Se Ste 200, Grand Rapids, MI 49546-8292 | 2009-04-27 |
| 1962660092 | Michigan Medical Patient Care | Internal Medicine | 260 Jefferson Ave Se, Grand Rapids, MI 49503-4597 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796913 | Internal Medicine Sleep Associates Pllc | Internal Medicine | 7300 Deep Run, Bloomfield Hills, MI 48301-3821 | 2018-10-19 |
| 1457739534 | Comprehensive Sleep Diagnostics | Internal Medicine | 3515 Coolidge Rd Ste A, East Lansing, MI 48823-8014 | 2015-05-11 |
| 1588078901 | Aairs Diagnostics PC | Internal Medicine | 1500 W. Big Beaver, Ste 107, Troy, MI 48084 | 2014-06-13 |
| 1184042723 | Harrison M Gimbel | Internal Medicine | 1500 E Medical Center Dr Spc 5316, Ann Arbor, MI 48109 | 2014-04-01 |
| 1295906741 | Great Lakes Sleep Medicine Institute Plc | Internal Medicine | 3058 Metropolitan Parkway, Suite 108, Sterling Heights, MI 48310 | 2008-03-12 |
| 1124220140 | Todd C Gould Do Oc | Internal Medicine | 305 Barclay Cir, Suite 1000, Rochester Hills, MI 48307-4572 | 2007-06-01 |
| 1306969944 | Ruth Darcel Barnett | Internal Medicine | 15121 W Mcnichols Rd, Detroit, MI 48235-3716 | 2007-04-09 |
| 1255455887 | Margaret Moen Md Pllc | Internal Medicine | 457 Munson Ave, Traverse City, MI 49686-3084 | 2007-03-19 |
| 1578634440 | Sleep Apnea Specialty Centers Of | Internal Medicine | 42180 Ford Rd, Suite 201, Canton, MI 48187-3673 | 2006-11-13 |
| 1801966080 | Sleep Apnea Specialty Center | Internal Medicine | 14031 Pennsylvania Rd, Suite A, Riverview, MI 48193-7508 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
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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.