DR. MARUTHI SRIKANTH PENUMETSA


Address: 4007 Gateway Blvd # 100, Newburgh, IN 47630-8947
Phone: 8128420907

DR. MARUTHI SRIKANTH PENUMETSA (NPI# 1043469471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043469471
Entity Type Individual
Full Name DR. MARUTHI SRIKANTH PENUMETSA
Credential MD
Practice Address 4007 Gateway Blvd # 100
Newburgh
IN 47630-8947
Mailing Address 4015 Gateway Blvd
Ste 2120
Newburgh
IN 47630-9460
Practice Telephone 8128420907
Practice Fax Number 8124907919
Mailing Telephone (812) 492-5457
Mailing Fax Number 8124644485
Enumeration Date 2008-09-10
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 249875 MA Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
MD452272 PA Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
01078151A IN Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 249875 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Tech Park Dr, Johnstown, PA 159012515 8144758600 8144758666

Office Location

Street Address 4007 GATEWAY BLVD # 100
City NEWBURGH
State IN
Zip Code 47630-8947

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184672628 Jacki L Wildeman Nurse Practitioner 4007 Gateway Blvd # 100, Newburgh, IN 47630-8947 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477199859 Dana Marie Deken Physical Therapy Assistant 322 Bell Oaks, Newburgh, IN 47630 2019-11-21
1851948897 Riley Elizabeth Eilken Physical Therapist 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 2019-08-23
1851851174 Jennifer Ozete Cole Physical Therapist 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 2019-03-22
1174014542 Katherine E Lyle Music Therapist 1003 Sr 662 W, Newburgh, IN 47630 2018-05-22
1144719923 Jennifer Michelle Huffman Occupational Therapy Assistant 9800 Lincolne Avenue, Newburgh, IN 47630 2018-05-07
1215431846 Deaconess Specialty Physicians, Inc Internal Medicine 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 2018-03-20
1801313002 Deaconess Hospital, Inc Pharmacy 4209 Gateway Blvd., Newburgh, IN 47630 2017-08-28
1629435599 Caitlyn Beckinger Physical Therapy Assistant 9800 Lincoln Ave, Newburgh, IN 47630 2016-01-24
1568869410 Jill Buck Social Worker 8788 Ruffian Ln Ste D, Newburgh, IN 47630 2014-11-20
1003191057 Marshall Alan Cox Pharmacist 7769 Hwy 66, Newburgh, IN 47630 2011-10-20
Find all providers in zip 47630

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205288305 Johnshaomd Internal Medicine 289 N Plank Rd, Suite 3, Newburgh, NY 12550-1790 2016-07-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710485594 Optimal Health Network of Indiana LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2018-01-26
1205275948 Benjamin Thomas Maatman Internal Medicine 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 2013-06-16
1730389586 Akhtar Parvaiz Md Internal Medicine 1951 W 45th Ave, Griffith, IN 46319-3703 2007-07-20
1225058787 William E Lehmkuhler, M.d. P.C. Internal Medicine 950 Memorial Dr, Jasper, IN 47546-2625 2006-07-20
1326073586 Srinivasarao Manchikalapudi Internal Medicine 2109 Green Valley Rd, New Albany, IN 47150 2006-07-12
1548233158 Kingsley Annan Internal Medicine 1928 S Dixon Rd, Kokomo, IN 46902-7302 2006-02-13
1194724377 Eric F Schulte Internal Medicine 7863 Broadway, Suite 140, Merrillville, IN 46410-5553 2005-07-19
1386283281 Seyal Cardiology LLC Internal Medicine 1455 Cedar St Ste D, Clarksville, IN 47129-7700 2019-12-26
1710440839 1st Choice Cardiovascular Associates LLC Internal Medicine 701 Superior Ave Ste J, Munster, IN 46321-4038 2019-04-08
1972065415 Cind Care of In II, LLC Internal Medicine 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 2019-04-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEWBURGH
Zip Code 47630

Improve Information

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Dataset Information

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.

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