DEEPIKA RAO KALISETTI (NPI# 1063651123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063651123 |
| Entity Type | Individual |
| Full Name | DEEPIKA RAO KALISETTI |
| Credential | M.D. |
| Practice Address |
743 Jefferson Ave Ste 305 Scranton PA 18510-1639 |
| Practice Telephone | 5703421776 |
| Practice Fax Number | 5702071910 |
| Mailing Telephone | 5703421776 |
| Mailing Fax Number | 5702071910 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD445170 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD445170 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Medical Center Blvd, Suite 404, Chester, PA 190133955 | 6106198590 | 6106198591 |
| Street Address |
743 JEFFERSON AVE STE 305 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18510-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113254 | Megan Jane Mclaughlin | Nurse Practitioner | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2017-09-29 |
| 1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427432335 | Marla Osborne Dempsey | Family Medicine | 1141 Clay Ave Ste 1, Dunmore, PA 18510 | 2015-07-10 |
| 1669620043 | Mary Jane Miskovsky | Nurse Practitioner | 800 Linden Street, University of Scranton Student Health Service, Scranton, PA 18510 | 2008-08-28 |
| 1427174739 | Cheryl Friedman | Registered Nurse | 1710 Mulberry Street, Scranton, PA 18510 | 2007-03-21 |
| 1619092970 | Susan Rudalavage | Dietitian, Registered | 640 Madison Avenue, Scranton, PA 18510 | 2007-03-19 |
| 1851469738 | Lackawanna Surgery Center LLC | Clinic/Center | 415 Adams Avenue, Scranton, PA 18510 | 2006-12-01 |
| 1679666150 | Nicholas M. Rocco | Nurse Anesthetist, Certified Registered | 700 Quincy Ave., Scranton, PA 18510 | 2006-10-02 |
| 1710927587 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Jefferson Ave, Scranton, PA 18510 | 2006-06-08 |
| 1619934189 | James M Haggerty | Podiatrist | 521 Ash Street, Dunmore, PA 18510 | 2006-04-28 |
| 1962461145 | Kevin G Madden | Psychiatry & Neurology | 802 Jefferson Avenue, Scranton, PA 18510 | 2006-03-17 |
| 1720058795 | Mark Trently | Nurse Anesthetist, Certified Registered | 1822 Jmulberry St, Scranton, PA 18510 | 2006-01-24 |
| Find all providers in zip 18510 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| 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) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760928 | Christopher J Dressel Jr. | Internal Medicine | 746 Jefferson Ave, Ste 305, Scranton, PA 18510-1639 | 2005-06-14 |
| 1124065495 | Sridhar Sampath Kumar | Internal Medicine | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2006-06-02 |
| 1306841747 | Stylianos J Galanakis | Internal Medicine | 746 Jefferson Ave, Suite 305, Scranton, PA 18510-1624 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609686 | Grand View Hospital | Internal Medicine | 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 | 2019-06-26 |
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1588905095 | Harvard Cardiovascular Inc | Internal Medicine | 362 Sprague Rd, Penn Valley, PA 19072-1124 | 2013-03-07 |
| 1669784880 | Paul Lewis Hermany II | Internal Medicine | 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 | 2010-07-02 |
| 1679591374 | Subrahmanyam Chivukula | Internal Medicine | 245 Mill Street, Bristol, PA 19007 | 2006-07-18 |
| 1710913736 | Stafford Michael Smith | Internal Medicine | 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 | 2006-06-23 |
| 1891732541 | Gregory D Cox | Internal Medicine | 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 | 2006-06-01 |
| 1811934565 | Scott T. Riebel | Internal Medicine | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2006-06-01 |
| 1861440315 | Jethalal L Rambhia | Internal Medicine | 1200 Brooks Ln Ste 270, Jefferson Hills, PA 15025 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
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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.