VIVEKANANDA VARMA DATLA (NPI# 1154524148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154524148 |
| Entity Type | Individual |
| Full Name | VIVEKANANDA VARMA DATLA |
| Credential | M.D., |
| Practice Address |
2201 Lexington Ave Ashland KY 41101-2843 |
| Mailing Address |
Po Box 2379 Ashland KY 41105-2379 |
| Practice Telephone | 6064084000 |
| Practice Fax Number | 6064086825 |
| Mailing Telephone | 6064086200 |
| Mailing Fax Number | 6064086612 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
43412 | KY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 43412 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100129360 | 05 | |
| OH | 3066524 | 05 |
| Street Address |
2201 LEXINGTON AVE |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172552 | Anesthesia Physicians Care, Psc | Anesthesiology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2005-08-26 |
| 1225637275 | Rebecca Stamper | Nurse Practitioner | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-10-21 |
| 1346859626 | Renee S Gibbs | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-07-23 |
| 1477170835 | Rebecca Fay Goodwin | Speech-Language Pathologist | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-07-01 |
| 1144846098 | Derek S. Hartman | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-17 |
| 1083239198 | Brandi L. Sperry | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-06-15 |
| 1639792351 | Catherine G Daniels | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1932722659 | Timothy J Young | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1043833759 | Joshua W Wells | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-05-28 |
| 1801429451 | Debra J Wilks | Registered Nurse | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| 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 |
|---|---|---|---|---|
| 1114338225 | Sara Anne Davis | Hospitalist | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2014-05-12 |
| 1679833925 | Colin D Fee | Hospitalist | 280 Maple St, Ashland, OR 97520-1552 | 2012-05-21 |
| 1487886719 | Bahzat Youssef | Hospitalist | 1025 Center St, Ashland, OH 44805-4011 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396168308 | Hospital Medicine Associates, Pllc | Hospitalist | 5407 Merribrook Ln, Prospect, KY 40059-7620 | 2014-01-27 |
| 1700182714 | Aaron Schnell | Hospitalist | 1792 Alysheba Way Ste 150, Lexington, KY 40509-2285 | 2011-02-08 |
| 1972806487 | Hope Medical Services LLC | Hospitalist | 10123 Spring Gate Dr, Louisville, KY 40241-6127 | 2010-12-06 |
| 1922238922 | Naga Maruthi Kumar Perisetti | Hospitalist | University of Kentucky & Affliates, 800 Rose Street, Lexington, KY 40536-0001 | 2009-07-24 |
| 1801066857 | East Louisville Inpatient Medicine, Pllc | Hospitalist | 7807 Circle Crest Rd, Louisville, KY 40241-2807 | 2008-03-05 |
| 1730388984 | Mary Beth Staben Md LLC | Hospitalist | 125 Chinoe Rd, Lexington, KY 40502-1959 | 2007-07-17 |
| 1952354284 | George T Hanna | Hospitalist | 2336 Golden Oak Dr, Lexington, KY 40515-1608 | 2006-05-18 |
| 1891794962 | Inpatient Care Specialist, LLC | Hospitalist | 2301 River Rd, Suite 302, Louisville, KY 40206-1010 | 2005-07-20 |
| 1124027719 | Aftab Ahmed | Hospitalist | 250 E Liberty St, 801, Louisville, KY 40202-1530 | 2005-07-18 |
| 1265087746 | Kimberly Strickland | Hospitalist | 1 Audubon Plaza Dr, Louisville, KY 40217-1318 | 2019-08-02 |
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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.