DR. PRASANNA LAKSHMI YELAMANCHILI (NPI# 1083838130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083838130 |
| Entity Type | Individual |
| Full Name | DR. PRASANNA LAKSHMI YELAMANCHILI |
| Credential | M.D |
| Practice Address |
4007 Gateway Blvd Ste 100 Newburgh IN 47630-8947 |
| Mailing Address |
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-8925 |
| Practice Telephone | 8128420907 |
| Practice Fax Number | 8124907054 |
| Mailing Telephone | 8128420907 |
| Mailing Fax Number | 8124644485 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01067820A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000653732 | 01 |
| IN | RR MEDICARE | P00849721 | 01 |
| IN | 200988120 | 05 | |
| TRICARE PRIME | 351776713 | 01 | |
| KY | RR MEDICARE | P00849717 | 01 |
| KY | 7100124460 | 05 |
| Street Address |
4007 GATEWAY BLVD STE 100 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022866 | Venkata S Yelamanchili | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2005-09-09 |
| 1598038291 | Amber Gaye Moore | Registered Nurse | 4007 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 | 2012-02-12 |
| 1093948861 | The Heart Hospital At Deaconess Gateway, LLC | Internal Medicine | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-08-27 |
| 1124292446 | The Heart Hospital At Deaconess Gateway, LLC | Special Hospital | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-17 |
| 1245416502 | Lynn S Schnautz | Nurse Practitioner | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-01-17 |
| 1073561254 | Frank X Pamelia | Internal Medicine | 4007 Gateway Blvd, Ste100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1104874379 | James Michael Neahring | Internal Medicine | 4007 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1467415117 | Marlon D Jordan | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2006-04-11 |
| 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 Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1023083607 | Nirav D Shah | Internal Medicine | 5 Jeanne Dr Ste 7, Newburgh, NY 12550-1797 | 2006-02-17 |
| 1992792196 | Saleh Zakir Ahmad Sarwar | Internal Medicine | 5 Jeanne Dr, Suite 7, Newburgh, NY 12550-1702 | 2005-10-03 |
| 1225022866 | Venkata S Yelamanchili | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2005-09-09 |
| 1235492703 | Ying Yang | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2012-06-20 |
| 1225312903 | Cardiology Consultants of Westchester, PC | Internal Medicine | 5 Jeanne Dr, Suite 4, Newburgh, NY 12550-1798 | 2011-09-29 |
| 1124347612 | Neel Khanna | Internal Medicine | 1200 Route 300, Newburgh, NY 12550-5003 | 2010-05-24 |
| 1073561254 | Frank X Pamelia | Internal Medicine | 4007 Gateway Blvd, Ste100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1104874379 | James Michael Neahring | Internal Medicine | 4007 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1467415117 | Marlon D Jordan | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2006-04-11 |
| 1407819220 | Christine R Gest | Internal Medicine | 4015 Gateway Blvd, Suite 2120, Newburgh, IN 47630-8925 | 2006-04-11 |
| Find all providers in NEWBURGH | ||||
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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.