CHANDRA KANTH CHATURVEDULA (NPI# 1215311683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215311683 |
| Entity Type | Individual |
| Full Name | CHANDRA KANTH CHATURVEDULA |
| Practice Address |
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478 |
| Mailing Address |
1 Good Samaritan Way Mount Vernon IL 62864-2402 |
| Practice Telephone | 6188994000 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036.146437 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Good Samaritan Way, Mount Vernon, IL 628642402 | 6188993636 |
| Street Address |
2 GOOD SAMARITAN WAY STE 420 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841268521 | Gregory Szych | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-03-09 |
| 1295192805 | Tamara Copeland | Nurse Practitioner | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2016-01-27 |
| 1144649856 | Tyler Wishau | Podiatrist | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2014-04-09 |
| 1194022541 | Faizan Ali Khan | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2011-02-22 |
| 1689810855 | Marc Louis Sabatino | Physical Medicine & Rehabilitation | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-12-18 |
| 1396919544 | Naga Srinivas Sirikonda | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2008-04-18 |
| 1437210341 | Richard Chernecky | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-12-13 |
| 1649280793 | Louis Clarence Remynse IIi | Urology | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-08-09 |
| 1841239316 | Michelle Burwell | Physician Assistant | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1265650857 | Kirandeep Khangura | Internal Medicine | 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2007-04-22 |
| 1043395841 | Connie L. Davis | Internal Medicine | 208 Hospital Parkway, Mount Vernon, WA 98274 | 2006-10-27 |
| 1295755114 | Cheryl L Emmons | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2006-07-21 |
| 1881622504 | Dongsoo Kim | Internal Medicine | 102 Valentine St, Mount Vernon, NY 10550-2504 | 2006-06-29 |
| 1174789325 | Kidney & Hypertension Clinic Pllc | Internal Medicine | 1617 E Division St, Mount Vernon, WA 98274-4503 | 2008-08-06 |
| 1871719476 | Cheryl Emmons Mdsc | Internal Medicine | 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 | 2007-04-18 |
| 1821164765 | Muhammad Irfan Qadir M.d. L.L.C. | Internal Medicine | 514 Gramatan Ave, Suite P3, Mount Vernon, NY 10552-3054 | 2006-11-24 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on CHANDRA KANTH CHATURVEDULA.
| 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.