DR. VIJAY KUMAR VANAM (NPI# 1164760377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164760377 |
| Entity Type | Individual |
| Full Name | DR. VIJAY KUMAR VANAM |
| Credential | M.D |
| Practice Address |
1000 4th St Sw Mason City IA 50401-2800 |
| Mailing Address |
621 S Illinois Ave Suite 103 Mason City IA 50401-5489 |
| Practice Telephone | 6414286999 |
| Practice Fax Number | 6414286678 |
| Mailing Telephone | 6414286999 |
| Mailing Fax Number | 6414286678 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2019-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
43235 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
1000 4TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453274 | Curtis Gedney | Family Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2005-08-02 |
| 1144829300 | Katie Shannon | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-10-20 |
| 1588289672 | Heidi Smith | Clinical Nurse Specialist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-06-15 |
| 1164054755 | Traci Goll | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-02-11 |
| 1174154355 | Amanda Ann Walker | Physician Assistant | 1000 4th St Sw, Mason City, IA 50401-2800 | 2020-01-28 |
| 1679124002 | Jon Elmore | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-09-26 |
| 1225699028 | Jeremy Kevin Stamps | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-06-24 |
| 1285298943 | Anna Levan | Nurse Practitioner | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-04-29 |
| 1982162608 | Mohamed Abdi | Radiology | 1000 4th St Sw, Mason City, IA 50401-2800 | 2019-03-12 |
| 1477024123 | Jesse L Wineland | Physical Therapist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1477919090 | Anas Al-khateeb | Internal Medicine | 1000 4th St Sw, Mason City, IA 50401-2800 | 2016-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | MASON CITY |
| Zip Code | 50401 |
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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.