DR. PRAVEENA GORANTLA (NPI# 1114107182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114107182 |
| Entity Type | Individual |
| Full Name | DR. PRAVEENA GORANTLA |
| Credential | M.D |
| Practice Address |
1230 E 6th Ave Ste 2b Winfield KS 67156-3145 |
| Mailing Address |
1230 E 6th Ave Ste 1a Winfield KS 67156-3144 |
| Practice Telephone | 6202226270 |
| Practice Fax Number | 6202226271 |
| Mailing Telephone | 6202226270 |
| Mailing Fax Number | 6202226271 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
04-33130 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P01144793 | 01 | |
| KS | 200569320A | 05 |
| Street Address |
1230 E 6TH AVE STE 2B |
| City | WINFIELD |
| State | KS |
| Zip Code | 67156-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659636579 | William Newton Memorial Hospital | Internal Medicine | 1230 E 6th Ave Ste 2b, Winfield, KS 67156-3145 | 2012-07-06 |
| 1164606919 | Christopher Aaron Morrissey | Surgery | 1230 E 6th Ave Ste 2b, Winfield, KS 67156-3145 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992341952 | Annette Dannielle Reyes | Occupational Therapy Assistant | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-25 |
| 1902442247 | Sydney Dinicola | Speech-Language Pathologist | 1220 Ww II Memorial Dr, Winfield, KS 67156 | 2019-11-21 |
| 1669028973 | Kristina K Morin | Physical Therapy Assistant | 1309 E 19th Avenue, Winfield, KS 67156 | 2019-08-13 |
| 1952955817 | Advanced Pt, LLC | Occupational Therapist | 1309 E. 19th Avenue, Winfield, KS 67156 | 2019-07-30 |
| 1144701194 | Ana Liza Scully-skinner | Marriage & Family Therapist | 22214 D Street, Strother Field, Winfield, KS 67156 | 2018-08-28 |
| 1912437427 | Health Center Pharmacy Inc | Pharmacy | 722 Wheat Road, Winfield, KS 67156 | 2017-06-16 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1750691473 | Jessica Rachel Calvert | Social Worker | 121 College Ave., Winfield, KS 67156 | 2010-10-15 |
| 1619122686 | Cheryl Walsh Pickering | Social Worker | 22214 D. St, Strotherfield, Winfield, KS 67156 | 2008-11-18 |
| 1417122706 | Klas Daniel Miller | Obstetrics & Gynecology | 1230 E. Sixth Ave, Suite 2d, Winfield, KS 67156 | 2008-04-28 |
| Find all providers in zip 67156 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1821290750 | Kashif A Mufti | Internal Medicine | 25 N Winfield Rd Ste 405, Winfield, IL 60190-1379 | 2007-06-04 |
| 1770699381 | Pin Lin | Internal Medicine | 25 N. Winfiled Road, Suite 400, Winfield, IL 60190 | 2006-08-23 |
| 1659636579 | William Newton Memorial Hospital | Internal Medicine | 1230 E 6th Ave Ste 2b, Winfield, KS 67156-3145 | 2012-07-06 |
| 1891801510 | Elisa Y. Rhew | Internal Medicine | 25 N Winfield Rd, Ste 400, Winfield, IL 60190-1222 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229084 | Marilyn A. Solsky, M.d., LLC | Internal Medicine | 11030 Oakmont St Ste 300, Overland Park, KS 66210-1125 | 2017-04-14 |
| 1689917940 | Jeremy K Sharp | Internal Medicine | 17795 W 106th St Ste 102, Olathe, KS 66061 | 2013-04-04 |
| 1780946194 | Sarah Diane Vodopest | Internal Medicine | 5701 W 119th St Ste 209, Overland Park, KS 66209-3749 | 2012-06-12 |
| 1245566652 | John Kennedy Layle Jr. | Internal Medicine | 5800 High Dr, Mission Hills, KS 66208-1127 | 2009-10-20 |
| 1639307663 | Malik Rheumatology, Pa | Internal Medicine | 2260 N Ridge Rd Ste 210, Wichita, KS 67205-1130 | 2009-06-29 |
| 1760681464 | Arthritis & Rheumatology Clinics of Kansas LLC | Internal Medicine | 12902 State Line Rd, Leawood, KS 66209-1649 | 2007-07-12 |
| 1720297336 | Janelle A Regier | Internal Medicine | 2020 N Waldron St, Suite 105, Hutchinson, KS 67502-1144 | 2007-05-21 |
| 1457494395 | Rheumatology Consultants Chartered | Internal Medicine | 12330 Metcalf Ave Ste 570, Shawnee Mission, KS 66213-1308 | 2007-02-14 |
| 1598831026 | Shirley Y Wang | Internal Medicine | 8101 College Blvd Ste 100, Overland Park, KS 66210-2671 | 2006-11-27 |
| 1699878686 | Kevin M Latinis | Internal Medicine | 14641 Briar St, Leawood, KS 66224-3766 | 2006-09-06 |
| 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.