PRAVEEN K PONNAMREDDY (NPI# 1295752160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295752160 |
| Entity Type | Individual |
| Full Name | PRAVEEN K PONNAMREDDY |
| Credential | M.D. |
| Practice Address |
One Medical Center Drive Cardiology Lebanon NH 03756 |
| Mailing Address |
One Medical Center Drive Cardiology Lebanon NH 03756-0001 |
| Practice Telephone | 6036506247 |
| Mailing Telephone | 6036506247 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 16872 | NH | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 229636 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3100323 | 05 | |
| VT | 1027097 | 05 |
| Street Address |
ONE MEDICAL CENTER DRIVE CARDIOLOGY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275161655 | Monica Chowdary | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Dept of Emergency Medicine, Lebanon, NH 03756-0001 | 2020-03-31 |
| 1326675596 | Benjamin Howard Shapiro | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756 | 2020-03-26 |
| 1437797685 | Mark S Bilodeau | Physician Assistant | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-12-18 |
| 1962040600 | Janelle Voight Pickering | Registered Nurse | One Medical Center Drive, Anesthesiology, Lebanon, NH 03756-0001 | 2019-12-12 |
| 1417506544 | Rachel Kymberly Rooke | Nurse Practitioner | One Medical Center Drive, Pediatric Cardiology, Lebanon, NH 03756-0001 | 2019-09-11 |
| 1396398145 | Gemma Brooke Ogilvie Pentland | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-22 |
| 1164084778 | Susan Z Berg | Genetic Counselor, MS | One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2019-07-03 |
| 1215599295 | Chelsea E Salomon | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-07-01 |
| 1124683222 | Brianne Marie Tansey | Nurse Anesthetist, Certified Registered | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-05-03 |
| 1851954945 | Jane B Vasquez | Nurse Practitioner | One Medical Center Drive, Lebanon, NH 03756-0001 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437127 | Sergei L Joffy | Hospitalist | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-02-17 |
| 1568937423 | Erica R Light | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6111 | 2018-10-08 |
| 1710462411 | Andrea Schremph | Hospitalist | 252 S 4th St Fl 3, Lebanon, PA 17042-6123 | 2018-09-27 |
| 1598253577 | Charles E. Wade | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2018-04-25 |
| 1720504152 | Elizabeth A Petcov | Hospitalist | 252 S 4th St, Lebanon, PA 17042-6111 | 2017-08-17 |
| 1780126920 | Lacey N Christian | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052 | 2016-11-04 |
| 1053867572 | Mary Katherine Fuller-nave | Hospitalist | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2016-08-26 |
| 1780137802 | Mascoma Street Inpatient Services LLC | Hospitalist | 10 Alice Peck Day Dr, Lebanon, NH 03766-2900 | 2016-07-25 |
| 1003263823 | Nilofar Najafian | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-23 |
| 1710332390 | Sean Xiang Li | Hospitalist | 1 Medical Center Dr, Lebanon, NH 03756-0001 | 2016-05-02 |
| Find all providers in LEBANON | ||||
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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.