DR. VINAY ANAD-RAJ PALLEKONDA (NPI# 1174661458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174661458 |
| Entity Type | Individual |
| Full Name | DR. VINAY ANAD-RAJ PALLEKONDA |
| Credential | M.D. |
| Practice Address |
255 W Michigan Ave Jackson MI 49201-2218 |
| Mailing Address |
255 W Michigan Ave Po Box 1009 Jackson MI 49201-2218 |
| Practice Telephone | 5177876440 |
| Practice Fax Number | 5177877230 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177877230 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301072395 | MI | Allopathic & Osteopathic Physicians |
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
4301072395 | MI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301072395 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
255 W MICHIGAN AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649211426 | Bernard Eagleton | Anesthesiology | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2006-06-10 |
| 1245702844 | Sedation Services LLC | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2018-12-20 |
| 1487042784 | Anesthesia of America | Anesthesiology | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2015-01-08 |
| 1760800536 | Leslie A Richard | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2014-03-31 |
| 1689007775 | Wilhelm Franz Okken | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2013-08-13 |
| 1265796379 | Elaine F. Zinger | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2012-07-03 |
| 1467720730 | Rhonda J Sledge | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2011-12-01 |
| 1265715692 | Capital Anesthesia Partners, LLC | Anesthesiology | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2011-09-22 |
| 1063709335 | Gavin Nathan Baker | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2011-07-07 |
| 1710274659 | Rebeca Medina | Nurse Anesthetist, Certified Registered | 255 W Michigan Ave, Jackson, MI 49201-2218 | 2011-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544281 | Nahada Djuan Gudger II | Anesthesiology | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-21 |
| 1609028851 | Hyung Sun Choi | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2008-10-21 |
| 1114034543 | Ines H Berger | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588924344 | Dashanique Williams | Anesthesiology | 42225 Fairview Dr, Canton, MI 48187-3716 | 2012-05-25 |
| 1043410400 | Ajay Anand Khilanani | Anesthesiology | 100 Michigan St. Ne, Grand Rapids, MI 49503 | 2007-07-23 |
| 1528018256 | Emad Alatassi | Anesthesiology | 13251 E 10 Mile Rd Ste 800, Warren, MI 48089-2077 | 2006-05-11 |
| 1386188761 | Brian Trethowan | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2016-12-05 |
| 1245675024 | Payal Boss | Anesthesiology | 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493 | 2013-05-07 |
| 1861770851 | Carrie E Harvey | Anesthesiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2011-07-26 |
| 1881987006 | Penny Wilton | Anesthesiology | 100 Michigan St Ne, Suite 8861, Grand Rapids, MI 49503-2560 | 2011-05-20 |
| 1417247099 | Rajat Praveenchandra Pareek | Anesthesiology | 100 Michigan St Ne, Mc 117, Grand Rapids, MI 49503 | 2011-04-15 |
| 1356640718 | Lisa Marie Colosimo | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-03-23 |
| 1750689121 | Michigan Critical Care Anesthesiology | Anesthesiology | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2011-03-08 |
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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.