SHIRISHA PEDDI (NPI# 1104228287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104228287 |
| Entity Type | Individual |
| Full Name | SHIRISHA PEDDI |
| Credential | M.D |
| Practice Address |
11801 South Fwy Burleson TX 76028 |
| Mailing Address |
11801 South Fwy Burleson TX 76028-7021 |
| Practice Telephone | 8175685955 |
| Mailing Telephone | 8175685955 |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2018-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125.065420 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 036143377 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036143377 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3333 Green Bay Rd, North Chicago, IL 600643037 | 8475783227 | |
| 4201 W Medical Center Dr, Mchenry, IL 600508409 | (815) 338-6600 |
| Street Address |
11801 SOUTH FWY |
| City | BURLESON |
| State | TX |
| Zip Code | 76028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838299 | David W. Engleking | Internal Medicine | 11801 South Fwy, Burleson, TX 76028-7021 | 2005-08-10 |
| 1669073797 | Joanna Michelle Murphy | Nurse Practitioner | 11801 South Fwy, Burleson, TX 76028-7021 | 2020-11-04 |
| 1073111456 | Oluseyi W Ogunyankin | Pharmacist | 11801 South Fwy, Burleson, TX 76028-7021 | 2020-10-16 |
| 1982227773 | Adam Whitmire | Physical Therapist | 11801 South Fwy, Burleson, TX 76028-7021 | 2020-05-27 |
| 1710536933 | Heather Wood | Registered Nurse | 11801 South Fwy, Burleson, TX 76028-7021 | 2019-09-10 |
| 1215407275 | Ashley Bolden | Nurse Anesthetist, Certified Registered | 11801 South Fwy, Burleson, TX 76028-7021 | 2018-12-03 |
| 1942775697 | Holly Jo Taylor | Nurse Practitioner | 11801 South Fwy, Burleson, TX 76028-7021 | 2018-10-09 |
| 1033694682 | Ryan Austin Davis | Registered Nurse | 11801 South Fwy, Burleson, TX 76028-7021 | 2018-09-29 |
| 1477066405 | Northstar Anesthesia II Pa | Nurse Anesthetist, Certified Registered | 11801 South Fwy, Burleson, TX 76028-7021 | 2017-11-13 |
| 1053853549 | Joanne Joycelyn Picton | Nurse Practitioner | 11801 South Fwy, Ste 338, Burleson, TX 76028-7021 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399115 | North East Hospitalist Management, Inc | Hospitalist | 11803 South Fwy Ste 201, Burleson, TX 76028-7029 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323412 | Dimas Med LLC | Hospitalist | 31313 Fm 506, La Feria, TX 78559-6131 | 2020-07-22 |
| 1659992568 | Aa Health Pllc | Hospitalist | 23119 W Interstate 10 Bldg 904, San Antonio, TX 78257-1767 | 2020-05-01 |
| 1295363497 | Memorial Hermann Hospital Based Physician Group | Hospitalist | 929 Gessner Rd Ste 2700, Houston, TX 77024-2593 | 2020-04-01 |
| 1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
| 1568006328 | Pac Physicians Pllc | Hospitalist | 18731 Millhollow, San Antonio, TX 78258-4256 | 2019-11-04 |
| 1790328979 | Manali Healthcare Pllc | Hospitalist | 6913 Camp Bowie Blvd Ste 171, Fort Worth, TX 76116-7165 | 2019-10-21 |
| 1427601814 | Inayah Healthcare LLC | Hospitalist | 707 N. Waldrip Street, Grand Saline, TX 75140 | 2019-07-24 |
| 1043877384 | Samantha Marie Morgan | Hospitalist | 923 College Ave Ste 103, Fort Worth, TX 76104-3051 | 2019-05-22 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1912482167 | Premier Hospitalists, Pllc | Hospitalist | 1601 W. Trenton Rd Suite L, Mcallen, TX 78503 | 2018-10-03 |
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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.