VIJAYA R POKALA (NPI# 1205847522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205847522 |
| Entity Type | Individual |
| Full Name | VIJAYA R POKALA |
| Credential | M.D., F.A.C.C. |
| Practice Address |
1023 N Mound St Suite K Nacogdoches TX 75961-4491 |
| Practice Telephone | 9365642099 |
| Practice Fax Number | 9365642083 |
| Mailing Telephone | 9365642099 |
| Mailing Fax Number | 9365642083 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | H6917 | TX | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
L05982 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CONTROLLED SUBSTANCE REGI | C0073073 | 01 |
| TX | PHYSICIAN LICENSE/PERMIT | H6917 | 01 |
| TX | DEA REGISTRATION NUMBER | BP1631488 | 01 |
| TX | RADIOACTIVE MATERIAL LISC | L05982 | 01 |
| TX | 179845601 | 05 |
| Street Address |
1023 N MOUND ST SUITE K |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447419 | Edwin L. Ferren | Orthopaedic Surgery | 1023 N Mound St, Ste E, Nacogdoches, TX 75961-4453 | 2005-06-16 |
| 1346661709 | Griffith Family Medicine, Pllc | Family Medicine | 1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 | 2014-01-02 |
| 1811216120 | Edwin L. Ferren, M.d. Pa | Orthopaedic Surgery | 1023 N Mound St, Suite E, Nacogdoches, TX 75961-4491 | 2010-05-26 |
| 1659539708 | Sidney J. Fowler, D.d.s. | Dentist | 1023 N Mound St, Suite D, Nacogdoches, TX 75961-4491 | 2008-05-27 |
| 1235317082 | Nacogdoches Family Practice, Pa | Family Medicine | 1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 | 2008-02-04 |
| 1386765485 | Nacogdoches Cardiac Imaging Center Pllc | Clinic/Center | 1023 N Mound St, Suite L, Nacogdoches, TX 75961-4491 | 2007-04-03 |
| 1982779195 | Sidney Jack Fowler | Dentist | 1023 N Mound St, Suite D, Nacogdoches, TX 75961-4491 | 2006-11-22 |
| 1659444115 | Billy W Henderson | Internal Medicine | 1023 N Mound St, Ste. A, Nacogdoches, TX 75961-4491 | 2006-11-15 |
| 1407957202 | Maria L Deleon | Psychiatry & Neurology | 1023 N Mound St, Suite I, Nacogdoches, TX 75961 | 2006-09-26 |
| 1437160777 | Nacogdoches Cardiac Center, P.a. | Internal Medicine | 1023 N Mound St, Suite K, Nacogdoches, TX 75961-4491 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487983771 | Vikas Jain Md Pa Corp | Nuclear Medicine | 802 Worthing Ct, Southlake, TX 76092-8877 | 2009-12-15 |
| 1033268578 | Samuel Lewis | Nuclear Medicine | 11335 Altamont Dr, Frisco, TX 75034-1182 | 2007-01-10 |
| 1164898557 | Shelly K. Broline, M.d., P.a. | Nuclear Medicine | 7501 Fannin St, Houston, TX 77054-1938 | 2015-08-19 |
| 1881028801 | San Antonio Heart Imaging, Pllc | Nuclear Medicine | 19276 Stone Oak Pkwy, Suite 103 A, San Antonio, TX 78258-3378 | 2013-08-27 |
| 1952685034 | Cambridge Heart Clinic Pa | Nuclear Medicine | 11111 Jones Rd Ste 1, Houston, TX 77070-6317 | 2011-10-06 |
| 1710271242 | Dongxia Feng | Nuclear Medicine | 2401 S. 31st St, Temple, TX 76508-0001 | 2011-06-01 |
| 1104139575 | Cardiovascular Associates Northwest Pllc | Nuclear Medicine | 11111 Research Blvd, Suite 360, Austin, TX 78759-5264 | 2010-07-14 |
| 1851626352 | South Heart Clinic, Pllc | Nuclear Medicine | 512 Victoria Ln Ste 12, Harlingen, TX 78550-3228 | 2009-10-16 |
| 1376791160 | Garland Cardiac Imaging | Nuclear Medicine | 2046 Forest Ln, Suite 100, Garland, TX 75042-7958 | 2008-09-04 |
| 1083886527 | Cardiology Consultants of Texas | Nuclear Medicine | 621 N Hall St, Suite 400, Dallas, TX 75226-1339 | 2008-03-25 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
Please comment or provide details below to improve the information on VIJAYA R POKALA.
| 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.