DIVAKARA KEDLAYA (NPI# 1134104037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134104037 |
| Entity Type | Individual |
| Full Name | DIVAKARA KEDLAYA |
| Credential | MD |
| Practice Address |
1925 E Orman Ave Suite A235 Pueblo CO 81004-3537 |
| Practice Telephone | 7195573666 |
| Practice Fax Number | 7195573633 |
| Mailing Telephone | 7195573666 |
| Mailing Fax Number | 7195573633 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 44383 | CO | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 036147433 | IL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | A055622 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 42809223 | 05 |
| Street Address |
1925 E ORMAN AVE SUITE A235 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282498 | Gary E Lane | Surgery | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3537 | 2005-08-19 |
| 1518385632 | Chafonta Laniece Whatley | Nurse Practitioner | 1925 E Orman Ave, Suite A235, Pueblo, CO 81004-3537 | 2014-04-04 |
| 1083988091 | Moira Annette Sergejev | Nurse Practitioner | 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3537 | 2012-03-08 |
| 1770733743 | Mallikarjuna Nallegowda | Pain Medicine | 1925 E Orman Ave, Suite A-235, Pueblo, CO 81004-3537 | 2008-09-25 |
| 1831351303 | David Boyd Cox | Surgery | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2008-06-26 |
| 1588826259 | Eugene D. Chen, Md. Pllc | Surgery | 1925 E Orman Ave, Pueblo, CO 81004-3537 | 2008-06-25 |
| 1790975043 | Pamela Joy Cornella | Nurse Practitioner | 1925 E Orman Ave, A640, Pueblo, CO 81004-3537 | 2007-08-01 |
| 1669681581 | Heritage Internal Medicine, PC | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-05-21 |
| 1457483067 | Roxann D Murphy | Hearing Instrument Specialist | 1925 E Orman Ave, Suite 357, Pueblo, CO 81004-3537 | 2007-03-09 |
| 1205987583 | Christian G Hulett | Internal Medicine | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3537 | 2007-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780197228 | Carmel Community Living Corporation | Physical Medicine & Rehabilitation | 2003 Northmoor Ter Ste 100, Pueblo, CO 81008-1505 | 2017-11-07 |
| 1235102096 | Dwight Keither Caughfield | Physical Medicine & Rehabilitation | 511 W 29th St, Suite B, Pueblo, CO 81008-1128 | 2006-02-10 |
| 1003809286 | Louis C Cabiling | Physical Medicine & Rehabilitation | 635 Dittmer Ave, Pueblo, CO 81005-1211 | 2005-08-24 |
| 1093320111 | Brandon Wiley | Physical Medicine & Rehabilitation | 58 Glen Royal Dr, Pueblo, CO 81005-2263 | 2020-09-15 |
| 1588176341 | Kenneth Morris | Physical Medicine & Rehabilitation | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2017-11-01 |
| 1669637617 | Louis C Cabiling Md PC | Physical Medicine & Rehabilitation | 635 Dittmer Ave, Pueblo, CO 81005-1211 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795725 | Exos Physical Therapy and Sports Medicine, LLC | Physical Medicine & Rehabilitation | 12482 W Ken Caryl Ave Unit A4, Littleton, CO 80127-3724 | 2020-09-16 |
| 1154935286 | Maher Rehab Solutions LLC | Physical Medicine & Rehabilitation | 583 Coyote Willow Dr, Colorado Springs, CO 80921-7609 | 2020-09-05 |
| 1184238867 | Scl Health Medical Group - Denver, LLC | Physical Medicine & Rehabilitation | 98301 I-70 Frontage Road South, Wheat Ridge, CO 80033-1724 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1548873722 | Scl Health Medical Group - Grand Junction, LLC | Physical Medicine & Rehabilitation | 2686 Patterson Rd Unit 41, Grand Junction, CO 81506-8817 | 2020-08-26 |
| 1699399238 | St Mary's Hospital and Medical Center, Inc | Physical Medicine & Rehabilitation | 2635 N 7th St Unit 4, Grand Junction, CO 81501-8209 | 2020-05-29 |
| 1528697414 | Elizabeth Allison Bauer | Physical Medicine & Rehabilitation | 175 S Union Blvd Ste 245, Colorado Springs, CO 80910-3125 | 2020-04-03 |
| 1114554599 | Maria Bartlett Borg | Physical Medicine & Rehabilitation | 2000 S Co Blvd Ste 1000, Denver, CO 80222-7939 | 2020-03-25 |
| 1518590702 | Judith M Basow | Physical Medicine & Rehabilitation | 3825 Arctic Fox Dr, Fort Collins, CO 80525-3536 | 2020-02-17 |
| 1619515897 | Debra Paschall | Physical Medicine & Rehabilitation | 107 N 10th St, Canon City, CO 81212-3457 | 2019-12-18 |
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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.