MADANA MOHANA REDDY VALLEM (NPI# 1487898995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487898995 |
| Entity Type | Individual |
| Full Name | MADANA MOHANA REDDY VALLEM |
| Credential | M.D. |
| Practice Address |
1755 N Mecklenburg Ave South Hill VA 23970-4080 |
| Mailing Address |
Po Box 623 South Hill VA 23970-0623 |
| Practice Telephone | 4345845502 |
| Practice Fax Number | 4345845509 |
| Mailing Telephone | 4345845502 |
| Mailing Fax Number | 4345845509 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2020-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101259209 | VA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 263173 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1903 Sunset Ave, Utica, NY 135025617 | 3157971212 |
| Street Address |
1755 N MECKLENBURG AVE |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286939 | Peggie L Powell | Nurse Practitioner | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2005-06-22 |
| 1639608441 | Natasha Amy Grover | Dentist | 1755 N Mecklenburg Ave, Family Dental Clinic, South Hill, VA 23950 | 2017-06-06 |
| 1194264861 | Khalid Hasan | Orthopaedic Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2017-02-15 |
| 1841749355 | Mark Andrew Carreras | Family Medicine | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2016-09-26 |
| 1730528159 | Yasir Al-khalili | Psychiatry & Neurology | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2013-06-19 |
| 1104167493 | Christopher James Alexander | Family Medicine | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2013-03-11 |
| 1043571029 | Mohammad Khalid Mojadidi | Internal Medicine | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2012-06-06 |
| 1427348598 | Kedar Sudhakar Lavingia | Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2011-04-11 |
| 1760682512 | Jayanthi Nagendra Koneru | Internal Medicine | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2007-07-19 |
| 1578644373 | Jose F Demoya | Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2006-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| Find all providers in zip 23970 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194264861 | Khalid Hasan | Orthopaedic Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2017-02-15 |
| 1669431573 | Mari E Adams | Orthopaedic Surgery | 420 Bracey Ln, South Hill, VA 23970-1631 | 2006-03-20 |
| 1790754927 | Paul C Webb | Orthopaedic Surgery | 420 Bracey Ln, South Hill, VA 23970-1631 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695059 | Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | 450 Garrisonville Rd Ste 101, Stafford, VA 22554-1615 | 2020-09-30 |
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1154946093 | Orthovirgina, Inc. | Orthopaedic Surgery | 1760 Old Meadow Rd Ste 500, Mc Lean, VA 22102-4306 | 2020-06-16 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1649810805 | Anderson Clinic Inc | Orthopaedic Surgery | 3299 Woodburn Rd Ste 480, Annandale, VA 22003-7333 | 2020-01-15 |
| 1871136622 | Orthovirginia Inc. | Orthopaedic Surgery | 24600 Millstream Dr Ste 380, Aldie, VA 20105-5686 | 2019-10-24 |
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| City | SOUTH HILL |
| Zip Code | 23970 |
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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.