DR. NAGA SRINIVAS SIRIKONDA (NPI# 1396919544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396919544 |
| Entity Type | Individual |
| Full Name | DR. NAGA SRINIVAS SIRIKONDA |
| Credential | M.D |
| Practice Address |
2 Good Samaritan Way Ste 420 Mount Vernon IL 62864-2478 |
| Mailing Address |
7 Warwick Ln Mount Vernon IL 62864-2344 |
| Practice Telephone | 6188994000 |
| Mailing Telephone | 2705351914 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036137471 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Drive, Morgantown, WV 26506 | 3045984800 | |
| 4106 S Water Tower Pl, Mount Vernon, IL 628646544 | 6182428900 |
| 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 |
| 1215311683 | Chandra Kanth Chaturvedula | Internal Medicine | 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 | 2015-07-16 |
| 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 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1396879961 | Curators University of Mo | Internal Medicine | 600 N Main St, Mount Vernon, MO 65712-1004 | 2007-03-15 |
| 1174667570 | Soumya Parimi | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2007-02-18 |
| 1053359158 | Cielo Marie Maca | Internal Medicine | 600 N Main St, Mount Vernon, MO 65712-1004 | 2006-06-02 |
| 1194719286 | Shaban Mahmoud | Internal Medicine | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970626 | Suburban Pulmonary & Critical Care Assoc, Inc | Internal Medicine | 3 Erie Ct Ste 7010, Oak Park, IL 60302-2519 | 2018-08-03 |
| 1265883441 | Kunal H. Patel | Internal Medicine | 9600 Gross Point Rd. Im/icu Hospitalists, Skokie, IL 60076-1900 | 2016-06-28 |
| 1760896633 | Zohaib Akhtar | Internal Medicine | 301 S Park Ave, Herrin, IL 62948-3603 | 2014-06-18 |
| 1699187344 | Said Abuhasna | Internal Medicine | 800 Biesterfield Rd Ste 105, Elk Grove Village, IL 60007-3372 | 2014-05-29 |
| 1053678755 | Nida Junaid | Internal Medicine | 305 W Jackson St Ste 301, Carbondale, IL 62901-1474 | 2012-04-18 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1588970933 | Farbod Ghods | Internal Medicine | 5841 S Maryland Ave # Mc6026, Chicago, IL 60637-1447 | 2010-08-24 |
| 1225340045 | Praveen R. Anegondhi Sudhindra | Internal Medicine | 5401 N Knoxville Ave Ste 412b, Peoria, IL 61614-5082 | 2010-07-09 |
| 1588984454 | James M Walter | Internal Medicine | 240 East Huron, Mcgaw M-300, Chicago, IL 60611 | 2010-06-02 |
| 1568789485 | Suleman A Umar | Internal Medicine | 4440 W 95th St Rm 190s, Oak Lawn, IL 60453-2600 | 2010-05-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.