DR. SHANTHI G REDDY (NPI# 1134127681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134127681 |
| Entity Type | Individual |
| Full Name | DR. SHANTHI G REDDY |
| Credential | MD PA |
| Practice Address |
1233 S Main St Lumberton TX 77657-7390 |
| Mailing Address |
Po Box 30062 Lumberton TX 77657-1062 |
| Practice Telephone | 4097553600 |
| Practice Fax Number | 4097554443 |
| Mailing Telephone | 4097553600 |
| Mailing Fax Number | 4097554443 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2010-08-18 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J3587 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 136418406 | 05 | |
| TX | CLIA | 45D0937526 | 01 |
| TX | 136418401 | 05 | |
| TX | 136418408 | 05 | |
| TX | BLUE CROSS ID | 0002CF | 01 |
| UPIN # | F65496 | 01 | |
| TX | STATE LICENSE | J3587 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871933044 | Shanthi Reddy | Social Worker | 4650 N Rainbow Blvd Apt 2042, Las Vegas, NV 89108-5763 | 2013-07-02 |
| 1932528643 | Shanthi Reddy | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908 | 2014-04-09 |
| 1194047860 | Shanthi Reddy | Family Medicine | 16 Ethel Rd, Edison, NJ 08817-2249 | 2010-02-23 |
| Street Address |
1233 S MAIN ST |
| City | LUMBERTON |
| State | TX |
| Zip Code | 77657-7390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013453265 | Tad Group LLC | Clinic/Center | 1233 S Main St, Lumberton, TX 77657-7390 | 2017-01-12 |
| 1124349055 | Tuan Dao | Family Medicine | 1233 S Main St, Lumberton, TX 77657-7390 | 2010-06-15 |
| 1114244845 | Shanthi G Reddy Md Pa | Family Medicine | 1233 S Main St, Lumberton, TX 77657-7390 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972134617 | Harriscare Medical Group Pllc | Hospitalist | 220 Blanco Street, Lumberton, TX 77657 | 2020-01-31 |
| 1013465582 | Ronald K. Risinger, Dds, Ms, PC | Clinic/Center | 228a Country Lane Dr, Suite B, Lumberton, TX 77657 | 2016-09-14 |
| 1336556257 | Dental Square Pllc | Dentist | 681 South Main St., Lumberton, TX 77657 | 2014-07-14 |
| 1700121019 | King's Pharmacy of Lumberton | Pharmacy | 139 North Lhs Dr., Suite 211, Lumberton, TX 77657 | 2012-11-28 |
| 1245486810 | In-need Christian Counseling | Counselor | 1015 South Main, In Need Christian Counseling, Lumberton, TX 77657 | 2008-08-14 |
| 1669506879 | Lumberton Fire and Ems | Ambulance | 228 Country Ln, Lumberton, TX 77657 | 2007-03-16 |
| 1225170319 | Harry David Nelams | Dentist | 148 Country Ln Dr, Lumberton, TX 77657 | 2007-02-13 |
| 1962503615 | Dennis De Koven Riston | Emergency Medicine | 768 South Main Street, Lumberton, TX 77657 | 2006-09-26 |
| 1306812532 | Jong Joon Lee | Internal Medicine | 110 W Candlestick, Lumberton, TX 77657 | 2006-02-27 |
| 1154982676 | Hiteshkumar Devani | Dentist | 681 S Main St, Lumberton, TX 77657 | 2019-06-25 |
| Find all providers in zip 77657 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344183 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 588 Bailey Rd Ste K, Lumberton, NC 28358-2470 | 2017-08-30 |
| 1346780681 | Hattiesburg Clinic, Pa | Family Medicine | 202 E Main Ave, Lumberton, MS 39455-2608 | 2017-03-06 |
| 1124407150 | Carlo J Puzzo | Family Medicine | 300 West 27th St, Lumberton, NC 28358 | 2015-05-22 |
| 1598968430 | Ronald Lee Bell | Family Medicine | 75 Legend Road, Lumberton, NC 28359-1649 | 2007-06-07 |
| 1831107127 | Prospero V. Arante, Md Pa | Family Medicine | 288 Country Lane Dr, Lumberton, TX 77657-6804 | 2006-08-03 |
| 1841226495 | George O Chatyrka | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-24 |
| 1184689382 | John D Mcallister | Family Medicine | 2601 N Elm St, Suite A, Lumberton, NC 28358-3060 | 2006-04-19 |
| 1558345991 | Horatio G Daub | Family Medicine | 1636 Route 38 & Eayrestown Road, Lumberton, NJ 08048-2939 | 2005-11-30 |
| 1003805763 | Annamarie Ibay | Family Medicine | 1636 Route 38 and Eayrestown Road, Lumberton, NJ 08048-0000 | 2005-10-17 |
| 1598766131 | Gregory H. Busch | Family Medicine | 1561 Route 38, Suite 6, Lumberton, NJ 08048-2939 | 2005-08-04 |
| Find all providers in LUMBERTON | ||||
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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.