PRAVEEN C KORIMERLA (NPI# 1194929273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194929273 |
| Entity Type | Individual |
| Full Name | PRAVEEN C KORIMERLA |
| Other Name | DR. PRAVEEN C KORIMERLA |
| Credential | MD |
| Practice Address |
1100 Goethals Dr Suite E Richland WA 99352-3300 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99337-5092 |
| Practice Telephone | 5099423095 |
| Practice Fax Number | 5099423097 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60403274 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
243005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1538368360 | 05 |
| Street Address |
1100 GOETHALS DR SUITE E |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474151 | Juan A Cordero Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Goethals Dr, 3rd Floor, Richland, WA 99352-3304 | 2005-08-15 |
| 1851742415 | Si Feng | Nurse Practitioner | 1100 Goethals Dr, Suite E, Richland, WA 99352-3300 | 2016-06-24 |
| 1801244314 | Christina Durocher | Audiologist | 1100 Goethals Dr, Suite D, Richland, WA 99352-3300 | 2016-05-25 |
| 1548622509 | April Valdez | Nurse Practitioner | 1100 Goethals Dr, Suite F, Richland, WA 99352-3300 | 2016-03-28 |
| 1134587942 | Nathaniel Enoch Boggs | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2016-02-08 |
| 1831570191 | Timothy Seth Blanscett | Registered Nurse | 1100 Goethals Dr, Ste D, Richland, WA 99352-3300 | 2015-06-12 |
| 1164837126 | Nicholas Manke | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2014-06-27 |
| 1477965929 | Hunter Lee | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2014-06-02 |
| 1811250764 | Mary Elizabeth Carnaghan | Nurse Practitioner | 1100 Goethals Dr, Suite F, Richland, WA 99352-3300 | 2012-06-15 |
| 1144256181 | Iyad Jamali | Internal Medicine | 1100 Goethals Dr, Kadlec Inland Cardiology, Richland, WA 99352-3304 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| 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 |
|---|---|---|---|---|
| 1144407503 | Abdelazim Osman Hashim | Internal Medicine | 1100 Goethals Dr Ste F, Kadlec Inland Cardiology, Richland, WA 99352-3301 | 2008-01-29 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1588691406 | Christopher Kevin Ravage | Internal Medicine | 945 Stevens Dr, Richland, WA 99352-3508 | 2006-06-27 |
| 1801889191 | Jeffrey Mark Lehr | Internal Medicine | 1100 Goethals Drive, Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2005-08-23 |
| 1891798211 | Glen W Zuroske | Internal Medicine | 1110 Gilmore St, Richland, WA 99352-3302 | 2005-05-31 |
| 1770896557 | Providence Health & Services | Internal Medicine | 833 Swift Blvd, Richland, WA 99352-3513 | 2010-07-21 |
| 1316180680 | Tri-city Heart Centre, Inc | Internal Medicine | 750 Swift Blvd, Suite 13, Richland, WA 99352-3521 | 2009-04-15 |
| 1639351190 | Northern Desert Cardiology PC | Internal Medicine | 1110 Gilmore St, Richland, WA 99352-3302 | 2007-11-27 |
| 1093721409 | Columbia Basin Cardiology Pllc | Internal Medicine | 945 Stevens Dr, Richland, WA 99352-3508 | 2006-07-31 |
| 1144256181 | Iyad Jamali | Internal Medicine | 1100 Goethals Dr, Kadlec Inland Cardiology, Richland, WA 99352-3304 | 2006-06-23 |
| Find all providers in RICHLAND | ||||
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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.