DR. SHASHANK PONUGOTI (NPI# 1205085651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205085651 |
| Entity Type | Individual |
| Full Name | DR. SHASHANK PONUGOTI |
| Credential | MD |
| Practice Address |
1 Medical Center Drive Morgantown WV 26505 |
| Mailing Address |
Po Box 88 White Sulphur Springs WV 24986-0088 |
| Practice Telephone | 3042931964 |
| Mailing Telephone | 3045365030 |
| Mailing Fax Number | 3045365031 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2011-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23711 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BLACK LUNG/FECA | 613154600 | 01 |
| WV | CIGNA | 0817345 | 01 |
| OH | 2969328 | 05 | |
| WV | CARELINK/COVENTRY | 1072968 | 01 |
| KY | 7100084200 | 05 | |
| WV | OH UNISON | 000000276995 | 01 |
| WV | 3810015455 | 05 |
| Street Address |
1 MEDICAL CENTER DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593835 | Eric Kinney | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506 | 2020-09-23 |
| 1740899186 | Calvin Austin Parmiter | Pharmacist | 1 Medical Center Drive, Dept of Pharmacy Services, Morgantown, WV 26506 | 2020-07-30 |
| 1336776939 | Sundus Ahmed | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Morgantown, WV 26506-1200 | 2020-03-24 |
| 1407406523 | Amy Pham | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26506-1200 | 2019-09-19 |
| 1083176440 | Nicole Pozun | Nurse Practitioner | 1 Medical Center Drive, Morgantown, WV 26505-6010 | 2019-04-04 |
| 1215496112 | Britney Harris | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Surgery Room 4601, Morgantown, WV 26506 | 2019-03-19 |
| 1790256220 | Jessica Kim | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Services, Morgantown, WV 26506 | 2018-12-10 |
| 1952883001 | Benjamin Bredhold | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services, Morgantown, WV 26505 | 2018-09-05 |
| 1558841437 | Aaron Cumpston | Pharmacist | 1 Medical Center Drive, Department of Pharmaceutical Servies, Morgantown, WV 26506 | 2018-08-20 |
| 1508346594 | Kala Ruth Rorabaugh | Pharmacist | 1 Medical Center Drive, Dept of Pharmaceutical Services (8045), Morgantown, WV 26506 | 2018-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1083162739 | Heartnexus Inc | Internal Medicine | 3950 Eastlake Dr, Morgantown, WV 26508-8673 | 2016-09-12 |
| 1619228491 | Walter Harry Horner | Internal Medicine | 1421 Eastern Ave, Morgantown, WV 26505-2347 | 2012-09-20 |
| 1922363837 | Tejaswini Potlapalli | Internal Medicine | 419 Mallard Run, Morgantown, WV 26508-7370 | 2012-07-06 |
| 1861752891 | Emmanuel Francis Adams | Internal Medicine | 1503 N Willey St, Apt 204, Morgantown, WV 26505-5497 | 2012-05-24 |
| 1144529769 | Samuel Merrill | Internal Medicine | 64 Medical Center Drive, Morgantown, WV 26506 | 2011-03-22 |
| 1871756247 | Robert C Stansbury | Internal Medicine | 205 Bakers Ridge Rd, Morgantown, WV 26508-1500 | 2008-07-07 |
| 1235392093 | Donald Ray Siddoway | Internal Medicine | 600 Suncrest Town Centre Dr Ste 210, Morgantown, WV 26505 | 2008-07-02 |
| 1669652806 | Ajai K Sandhir | Internal Medicine | 5004 Mid Atlantic Drive, Morgantown, WV 26508 | 2007-11-05 |
| 1790901999 | Joshua Michael Dower | Internal Medicine | 3363 University Ave, Morgantown, WV 26505-7225 | 2007-04-17 |
| 1649317751 | Haider S Chaudhry | Internal Medicine | 1230 Van Voorhis Rd, Apt E 1, Morgantown, WV 26505-3425 | 2007-01-30 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.