VIJAYA RAMA AMMISETTY (NPI# 1164662508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164662508 |
| Entity Type | Individual |
| Full Name | VIJAYA RAMA AMMISETTY |
| Credential | M. D. |
| Practice Address |
11203 Main Street Martin KY 41649-0910 |
| Mailing Address |
P.o. Box 910 Martin KY 41649-0910 |
| Practice Telephone | 6062856400 |
| Mailing Telephone | 6062856400 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2010-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 42400 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
11203 MAIN STREET |
| City | MARTIN |
| State | KY |
| Zip Code | 41649-0910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209925 | William H. Smith-mensah | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-01-11 |
| 1063818987 | Alanna M Cline | Pharmacist | 11203 Main Street, Martin, KY 41649-0910 | 2014-11-05 |
| 1790106086 | Shawna Elliott | Pharmacist | 11203 Main Street, Martin, KY 41649 | 2014-01-03 |
| 1720211774 | Saint Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 11203 Main Street, Martin, KY 41649-0910 | 2009-08-25 |
| 1063611218 | Saint Joseph Health System Inc | Long Term Care Hospital | 11203 Main Street, Martin, KY 41649 | 2007-07-17 |
| 1255357364 | Our Lady of The Way Hospital, Inc | Nurse Anesthetist, Certified Registered | 11203 Main Street, Martin, KY 41649-0910 | 2006-07-14 |
| 1487688511 | Saint Joseph Health System Inc | Clinic/Center | 11203 Main Street, Martin, KY 41649-0910 | 2006-07-11 |
| 1194767095 | Howard Newmark | Emergency Medicine | 11203 Main Street, Martin, KY 41649-0910 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710531017 | Taylor Leigh Mcfadden | Dentist | 265 Ky Route 122, Suite 2, Martin, KY 41649 | 2019-07-25 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1962957431 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Route 122, Martin, KY 41649 | 2016-08-24 |
| 1174991962 | Charla Lynn Burgett | Pharmacist | 90 Triangle St., Martin, KY 41649 | 2015-09-10 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1700038247 | Leigh Danielle Hamilton | Pharmacist | 262 Ky Route 122, Martin, KY 41649 | 2008-10-15 |
| 1578738944 | Floyd County Health Department | Public Health or Welfare | 481 Stephens Road, Martin, KY 41649 | 2008-04-28 |
| 1538333828 | Joshua Slone | Counselor | 11206 Main Street, Martin, KY 41649 | 2008-04-17 |
| 1073737722 | Susan Mayo Hamilton | Speech-Language Pathologist | 481 Stephens Branch Road, Martin, KY 41649 | 2007-04-12 |
| 1760528905 | Olin Andrew Elliott II | Dentist | 196 Ky Hwy 3188, Martin, KY 41649 | 2007-01-29 |
| Find all providers in zip 41649 | ||||
| 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 |
|---|---|---|---|---|
| 1073013306 | Fast Pace Medical Clinic LLC | Family Medicine | 108 Courtright Rd, Martin, TN 38237-1607 | 2018-02-13 |
| 1275885832 | Janey Lynn Watts | Family Medicine | 263 Ky Route 122 Ste C, Martin, KY 41649 | 2012-10-08 |
| 1295802619 | Weber Medical Services PC | Family Medicine | 109 Pugh Street, Martin, SD 57551-0370 | 2006-11-29 |
| 1649214362 | Larry Alvin Weitzenkamp | Family Medicine | 109 Pugh St, Martin, SD 57551-0370 | 2006-06-15 |
| 1376506535 | Prem Shankar Verma | Family Medicine | 11176 Main St, Martin, KY 41649-7999 | 2006-04-10 |
| 1952378408 | Karen S.p. Eschedor | Family Medicine | 4948 Gumlog Rd, Martin, GA 30557-2921 | 2006-03-03 |
| 1801886064 | Michael John Medeck | Family Medicine | 302 1st Ave., Martin, SD 57551 | 2005-10-27 |
| 1396738266 | Kenneth W Carr | Family Medicine | 115 Mount Pelia Rd, Martin, TN 38237-3315 | 2005-08-25 |
| 1467458034 | Gopal R Majmundar | Family Medicine | 11217 Main Street, Martin, KY 41649-0828 | 2005-06-28 |
| 1447254164 | Audie B Marlar Jr. | Family Medicine | 117 Kennedy Dr, Martin, TN 38237-3309 | 2005-06-10 |
| Find all providers in MARTIN | ||||
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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.