LAKSHMI R. BEERAVOLU (NPI# 1376745117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376745117 |
| Entity Type | Individual |
| Full Name | LAKSHMI R. BEERAVOLU |
| Credential | MD |
| Practice Address |
4550 Memorial Dr Ste. A480 Belleville IL 62226-5372 |
| Practice Telephone | 6182344531 |
| Practice Fax Number | 6182344695 |
| Mailing Telephone | 6182344531 |
| Mailing Fax Number | 6182344695 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2014029851 | MO | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
2014029851 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
036131387 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4550 MEMORIAL DR STE. A480 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055961 | Lawrence Mcclinton | Physician Assistant | 4550 Memorial Dr, Ste. 280, Belleville, IL 62226-5372 | 2005-06-30 |
| 1902273717 | Tammi Lynn Jones | Nurse Practitioner | 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5372 | 2015-08-27 |
| 1235474057 | Memorial Medical Group, LLC | Anesthesiology | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-12-05 |
| 1013265248 | Deanna L. Rodenberg | Registered Nurse | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-08-20 |
| 1699061259 | Oa Associated LLC | Specialist/Technologist | 4550 Memorial Dr, Moc-1, Suite G-100, Belleville, IL 62226-5372 | 2011-06-22 |
| 1619260932 | Dori Hunt | Nurse Practitioner | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2011-05-19 |
| 1821302118 | Pc Associates, LLC | Hospitalist | 4550 Memorial Dr, Suite 340, Belleville, IL 62226-5372 | 2010-07-29 |
| 1386958668 | Pc Associates, LLC | Family Medicine | 4550 Memorial Dr, Ste 180, Belleville, IL 62226-5372 | 2010-07-29 |
| 1376857656 | Ca Group, LLC | Internal Medicine | 4550 Memorial Dr, Ste 310, Belleville, IL 62226-5372 | 2010-07-29 |
| 1649584921 | Ca Group LLC | Internal Medicine | 4550 Memorial Dr, Suite 320, Belleville, IL 62226-5372 | 2010-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821649138 | Daif Consulting LLC | Psychiatry & Neurology | 7921 W 103rd St Apt 1b, Palos Hills, IL 60465-1585 | 2019-09-27 |
| 1497174353 | Atif Sheikh | Psychiatry & Neurology | 600 N Mcclurg Ct Apt 3205a, Chicago, IL 60611-6610 | 2014-04-08 |
| 1235557927 | Akash D Patel | Psychiatry & Neurology | 1801 W Taylor St Ste 4e, Chicago, IL 60612-4795 | 2014-03-31 |
| 1720098858 | Syed Naveed | Psychiatry & Neurology | 17 W 434 Rosevelt Rd, Oakbrook Terrece, IL 60181 | 2006-08-09 |
| 1760427850 | Rana F Mafee | Psychiatry & Neurology | 2450 Wolf Rd, Suite D, Westchester, IL 60154-5643 | 2006-06-20 |
| 1093337412 | Sumayyah Abumurad | Psychiatry & Neurology | 5841 S Maryland Ave Rm J-141, Mc2030, S231, Chicago, IL 60637-1443 | 2020-05-07 |
| 1023558376 | Adam Jackson | Psychiatry & Neurology | 55 W Chestnut St, Chicago, IL 60610-3347 | 2017-03-06 |
| 1831540111 | Christopher Veys | Psychiatry & Neurology | 1725 W Harrison St Ste 885, Chicago, IL 60612-3841 | 2016-06-28 |
| 1588027924 | Geeta Verma | Psychiatry & Neurology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2016-04-02 |
| 1326459553 | Ahmad Daif | Psychiatry & Neurology | 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1447 | 2014-05-09 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
Please comment or provide details below to improve the information on LAKSHMI R. BEERAVOLU.
| 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.