DR. PANDURANGA RAO KOYA (NPI# 1427151323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427151323 |
| Entity Type | Individual |
| Full Name | DR. PANDURANGA RAO KOYA |
| Credential | M.D. |
| Practice Address |
2900 Lemay Ferry Rd Ste 104 Saint Louis MO 63125-3900 |
| Practice Telephone | 3145251887 |
| Practice Fax Number | 3145251868 |
| Mailing Telephone | 3145251887 |
| Mailing Fax Number | 3145251868 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2014011671 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 036089772 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2900 LEMAY FERRY RD STE 104 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447336 | Laura Ruth Hulbert | Obstetrics & Gynecology | 2900 Lemay Ferry Rd, Suite 228, Saint Louis, MO 63125-3900 | 2005-06-16 |
| 1265892830 | Ams Medical Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2016-02-25 |
| 1083081426 | Triad Labs Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Ste 205, Saint Louis, MO 63125-3900 | 2015-09-01 |
| 1922482496 | St. Anthony's Physician Organization | Internal Medicine | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2015-07-15 |
| 1306252457 | Kimberly Manning | Nurse Practitioner | 2900 Lemay Ferry Rd, Ste 104, Saint Louis, MO 63125-3900 | 2014-07-09 |
| 1184055386 | Thyroid Specialty Laboratory Inc | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 114, Saint Louis, MO 63125-3900 | 2013-12-13 |
| 1497185516 | Medcomp, LLC | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2013-11-27 |
| 1972859171 | Ams Medical Laboratory | Clinical Medical Laboratory | 2900 Lemay Ferry Rd, Suite 205, Saint Louis, MO 63125-3900 | 2012-07-25 |
| 1619238235 | St. Anthony's Physician Organization | Family Medicine | 2900 Lemay Ferry Rd, Suite 104, Saint Louis, MO 63125-3900 | 2012-05-30 |
| 1316258601 | Paul David Hansen | Internal Medicine | 2900 Lemay Ferry Rd, Saint Louis, MO 63125-3900 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
| 1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
| 1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
| 1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
| 1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
| 1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
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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.