DR. VADREVU K RAJU (NPI# 1346248127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346248127 |
| Entity Type | Individual |
| Full Name | DR. VADREVU K RAJU |
| Credential | M.D. |
| Practice Address |
1255 Pineview Dr Morgantown WV 26505-2738 |
| Practice Telephone | 3045983301 |
| Practice Fax Number | 3042250516 |
| Mailing Telephone | 3045983301 |
| Mailing Fax Number | 3042250516 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 11294 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0007123000 | 05 | |
| WV | 0096681000 | 05 |
| Street Address |
1255 PINEVIEW DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285948836 | Lauren Renee Digiovine | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2010-08-05 |
| 1588866818 | Gary James Miller | General Practice | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2007-05-31 |
| 1053487736 | Edgar C Gamponia | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-27 |
| 1336212075 | Regional Eye Associates, Inc. | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-17 |
| 1982777017 | Stephen R Powell | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 1215000369 | Heath L Lemley | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 1093888166 | James Genin | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 1528131703 | Mark D Mayle | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 1366515421 | Brian L Wood | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 1851464028 | David C Mcclure | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2713 | 2006-11-16 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871971895 | Sumeet Gupta | Ophthalmology | 1 Medical Center Dr # 9193, Morgantown, WV 26506-1200 | 2015-05-11 |
| 1891770525 | Nabil M. Jabbour | Ophthalmology | 3120 Collins Ferry Rd, Morgantown, WV 26505-3305 | 2005-12-15 |
| 1780115493 | Beau Froebel | Ophthalmology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2017-03-23 |
| 1134583164 | Lauren Victoria Gioia | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26506 | 2016-04-06 |
| 1053793182 | Nicole Marie Pumariega | Ophthalmology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2015-06-25 |
| 1366731994 | Brian Mcmillan | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26506 | 2011-04-05 |
| 1285948836 | Lauren Renee Digiovine | Ophthalmology | 1255 Pineview Dr, Morgantown, WV 26505-2738 | 2010-08-05 |
| 1659692390 | Lingo Y. Lai | Ophthalmology | 1 Medical Center Drive, Morgantown, WV 26505 | 2010-06-17 |
| 1386964104 | Laura Anne Gadzala | Ophthalmology | 1 Medical Center Drive, Box 9193, Morgantown, WV 26506 | 2010-06-03 |
| 1912135831 | Monica L. O. D'angelo | Ophthalmology | 1 Medical Center Drive, West Virginia University, Morgantown, WV 26506 | 2009-06-30 |
| 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.