NANDA KISHORE MADDINENI (NPI# 1073020756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073020756 |
| Entity Type | Individual |
| Full Name | NANDA KISHORE MADDINENI |
| Credential | SA-C |
| Practice Address |
850 W Irving Park Rd Chicago IL 60613-3077 |
| Practice Telephone | 7739756730 |
| Mailing Telephone | 7739756730 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
238.000564 | IL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
850 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879434 | Ricardo Machado | Internal Medicine | 850 W Irving Park Rd, Suite 102, Chicago, IL 60613-3077 | 2005-08-29 |
| 1790385987 | Adebowale Oyebamiji | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-10-28 |
| 1396350955 | Thorek Memorial Hospital | Clinic/Center | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-09-10 |
| 1003435868 | Jun Phan | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-04-13 |
| 1124670948 | Bukola Eunice Odusote | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2019-07-11 |
| 1508332552 | Virgilio A Caramay | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-10-17 |
| 1457845505 | Alison Casie Chruscinski | Social Worker | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-06-20 |
| 1821591058 | Sarah Grace Perkins | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
| 1790288868 | Lakeview Health Network LLC | Health Maintenance Organization | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
| 1609395383 | Ekalak Yodchai | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1154835130 | Jose Miguel Rodriguez Oquendo | Specialist/Technologist, Other | 505 W Belmont Ave Apt 5m, Chicago, IL 60657-6824 | 2017-11-29 |
| 1588108815 | Sekondi James | Specialist/Technologist, Other | 6141 S Maplewood Ave, Chicago, IL 60629-1621 | 2016-12-05 |
| 1043686165 | Felipe Villalobos | Specialist/Technologist, Other | 2724 N Marmora Ave, Chicago, IL 60639-1220 | 2015-08-12 |
| 1144637190 | Carlos Gabriel Fiorito | Specialist/Technologist, Other | 1360 N Sandburg Ter Apt 1003, Chicago, IL 60610-6089 | 2014-07-22 |
| 1013251479 | Andriy Strelkin | Specialist/Technologist, Other | 830 N Washtenaw Ave, Chicago, IL 60622-4787 | 2012-11-23 |
| 1386975514 | Stat Surgical Assist | Specialist/Technologist, Other | 2611 W Crystal St, Chicago, IL 60622-2813 | 2010-01-28 |
| 1629619127 | Camio Inc | Specialist/Technologist, Other | 830 N Washtenaw Ave, Chicago, IL 60622-4787 | 2019-10-05 |
| Find all providers in CHICAGO | ||||
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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.