JAGDESH KANDALA (NPI# 1265515662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265515662 |
| Entity Type | Individual |
| Full Name | JAGDESH KANDALA |
| Credential | M.D. |
| Practice Address |
1 Atwell Rd Cooperstown NY 13326-1301 |
| Mailing Address |
571 Saint Josephs Blvd Fl 2 Elmira NY 14901-3230 |
| Practice Telephone | 6075476967 |
| Mailing Telephone | 6072712050 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 13104 | NH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
290180 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30206340 | 05 |
| Street Address |
1 ATWELL RD |
| City | COOPERSTOWN |
| State | NY |
| Zip Code | 13326-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697936 | Nicholas J Nehrbauer Jr. | Emergency Medicine | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2005-05-23 |
| 1942809751 | Riley Close | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1394 | 2020-10-22 |
| 1164039160 | Kathryn Elyse Loret | Audiologist | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-09-24 |
| 1295341667 | Nicole Anne Mealey | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1394 | 2020-09-21 |
| 1235745605 | Matthew E Mantilla | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-09-21 |
| 1710592167 | Jessica Draven Monzyk | Pharmacist | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-09-12 |
| 1194339408 | Stephanie Teresa Orzelek | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-09-03 |
| 1467065045 | Madison Lynn Schwerzler | Physician Assistant | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-08-25 |
| 1295346286 | Ansu Karki | Student in an Organized Health Care Education/Training Program | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-08-12 |
| 1902417033 | Uchit Thapa | Student in an Organized Health Care Education/Training Program | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121434 | Rebecca Renee Meehan | Registered Nurse | 39 Linden Ave., (cooperstown Central School), Cooperstown, NY 13326 | 2016-05-11 |
| 1023409299 | Edward Francis Danielski Jr. | Radiology | 4 Prosect Place, Cooperstown, NY 13326 | 2015-02-10 |
| 1265723027 | Crischelle Vilbar Magaspi | Internal Medicine | Mary Imogene Bassett Medical Center, 1 Atwell Road, Cooperstown, NY 13326 | 2011-04-28 |
| 1528255999 | Briana Lynn Calore | Orthopaedic Surgery | One Atwell Rd, Cooperstown, NY 13326 | 2007-10-01 |
| 1437206554 | Judith J. Greenberg | Psychiatry & Neurology | One Atwell Rd., Bassett Medical Center, Psychiatry Opd, Cooperstown, NY 13326 | 2007-01-03 |
| 1922174838 | James Robert Orcutt | Dentist | 6 Doubleday Court, Cooperstown, NY 13326 | 2006-11-24 |
| 1215006234 | Lawrence K Kelly | Counselor | 140 Co. Hwy 33w, Cooperstown, NY 13326 | 2006-11-06 |
| 1730270547 | Esther Lee Miller | Social Worker | 45 Pioneer St, 2nd Floor, Cooperstown, NY 13326 | 2006-09-27 |
| 1295775823 | Robin Gail Knapp | Advanced Practice Midwife | Bassett Medical Center, 1 Atwell Rd, Cooperstown, NY 13326 | 2006-06-08 |
| 1750366431 | Matthew Douglas Craig | Chiropractor | 4910 State Highway 28, Cooperstown, NY 13326 | 2005-12-14 |
| Find all providers in zip 13326 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | COOPERSTOWN |
| Zip Code | 13326 |
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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.