DR. DAVID KOTLABA (NPI# 1164512836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512836 |
| Entity Type | Individual |
| Full Name | DR. DAVID KOTLABA |
| Credential | MD |
| Practice Address |
201 S Main St Suite 1100 Danville VA 24541-2927 |
| Practice Telephone | 4347913009 |
| Practice Fax Number | 4347913228 |
| Mailing Telephone | 4347913009 |
| Mailing Fax Number | 4347913228 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101221387 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 265400 | 01 |
| NC | NC MEDICAID | 690586T | 01 |
| VA | 5836026 | 05 |
| Street Address |
201 S MAIN ST SUITE 1100 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083169320 | Madelyn H Corkern | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2016-08-16 |
| 1700236668 | Christina Alison Pavelko | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2016-06-21 |
| 1265805410 | Ausma Memon Farooq | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2015-11-10 |
| 1134502016 | John Lee | Family Medicine | 201 S Main St, Danville, VA 24541-2927 | 2015-07-09 |
| 1770997942 | Mohammed Mehboob Qureshi | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2014-06-16 |
| 1497182893 | Rachel Ann Mcgee | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2013-09-30 |
| 1982043709 | Jeffrey D Trawick | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2013-06-14 |
| 1629321146 | Stephanie Pruett Crumpton | Nurse Practitioner | 201 S Main St, Suite 1100, Danville, VA 24541-2927 | 2012-10-22 |
| 1659622777 | Craig Scott Coleman | Family Medicine | 201 S Main St, Suite 3200, Danville, VA 24541-2927 | 2012-09-28 |
| 1548524424 | Jissy Rachel Philip | Family Medicine | 201 S Main St, Danville, VA 24541-2927 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1447340112 | Gary Price Miller | Internal Medicine | 158 Executive Drive, Danville, VA 24541-4100 | 2006-10-13 |
| 1902901556 | Brian W Zagol | Internal Medicine | 158 Executive Dr, Danville, VA 24541-4100 | 2006-09-14 |
| 1215949656 | Malec A Mokraoui | Internal Medicine | 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 | 2006-08-13 |
| 1871527804 | Hussam Hamdalla | Internal Medicine | 102 Citation Dr, Danville, KY 40422-9216 | 2006-07-10 |
| 1205872264 | Boshra George Zakhary | Internal Medicine | 505 Rison St, Danville, VA 24541 | 2006-06-20 |
| 1588629521 | Anwer Qureshi | Internal Medicine | 100 N Academy, Danville, PA 17822-2160 | 2006-04-20 |
| 1861466377 | Narsing R Damera | Internal Medicine | 100 Hospital Ln Ste 120, Danville, IN 46122-1993 | 2006-02-14 |
| 1548234966 | Sai K Devarapalli | Internal Medicine | 100 Hospital Ln Ste 210, Danville, IN 46122 | 2006-02-14 |
| 1124026588 | Stephen Van Davis | Internal Medicine | 200 Deer Run Rd, Danville, VA 24540-2866 | 2005-07-11 |
| 1164429635 | Danville Cardiovascular Consultants, Psc | Internal Medicine | 1250 Ben Ali Dr, Danville, KY 40422-8937 | 2005-06-30 |
| Find all providers in DANVILLE | ||||
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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.