VINAY KUMAR KANTAMNENI (NPI# 1508811258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508811258 |
| Entity Type | Individual |
| Full Name | VINAY KUMAR KANTAMNENI |
| Credential | MD |
| Practice Address |
1753 W Ridgeway Ave Ste 105 Waterloo IA 50701-4588 |
| Mailing Address |
Po Box 2758 Waterloo IA 50704-2758 |
| Practice Telephone | 3198335940 |
| Practice Fax Number | 3198335941 |
| Mailing Telephone | 3198335940 |
| Mailing Fax Number | 3198335941 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
32046 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0157628 | 05 | |
| IA | JOHN DEERE HEALTH INS PLA | 424417307A9 | 01 |
| IA | WELLMARK INS PLAN | 40362 | 01 |
| Street Address |
1753 W RIDGEWAY AVE STE 105 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215915483 | Jayalakshmi Murugaian | Family Medicine | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2006-01-06 |
| 1235589656 | Robin Marie Pattison | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2016-06-16 |
| 1134580657 | Nicole D Slater | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 102, Waterloo, IA 50701-4544 | 2016-03-10 |
| 1912381443 | Carmen Mundt | Nurse Practitioner | 1753 W Ridgeway Ave, Ste 107, Waterloo, IA 50701-4544 | 2015-07-14 |
| 1942606868 | Robin Elizabeth Farley | Specialist/Technologist, Other | 1753 W Ridgeway Ave, Suite103b, Waterloo, IA 50701-4544 | 2014-11-05 |
| 1891039202 | Sara Nicole O'brien | Audiologist | 1753 W Ridgeway Ave, Suite 111, Waterloo, IA 50701-4544 | 2012-11-26 |
| 1841434313 | Rebecca L. Chittenden | Physician Assistant | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2009-04-28 |
| 1699924407 | Crystal Dawn Schrader | Nurse Practitioner | 1753 W Ridgeway Ave, Suite 105, Waterloo, IA 50701-4544 | 2008-09-17 |
| 1811021298 | Jessica J Curcio | Naturopath | 1753 W Ridgeway Ave, Suite 102, Waterloo, IA 50701-4544 | 2007-03-15 |
| 1699848481 | Cedar Valley Medical Specialists, P.C. | Durable Medical Equipment & Medical Supplies | 1753 W Ridgeway Ave, Suite104, Waterloo, IA 50701-4544 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1366781171 | Msa Alliance, LLC | Internal Medicine | 624 Vons-jost, Waterloo, IL 62298-1592 | 2013-02-14 |
| 1780638171 | Tarek Michel Daoud | Internal Medicine | 1753 W Ridgeway Ave, Ste 105, Waterloo, IA 50701-4588 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598935488 | Kidney Specialists, PC | Internal Medicine | 25058 189th St, Bettendorf, IA 52722-7343 | 2008-03-06 |
| 1841217916 | Renal Dialysis Associates of Davenport,p.c. | Internal Medicine | 1228 E Rusholme St Ste 8, Davenport, IA 52803-2467 | 2006-07-16 |
| 1265458681 | Jason Matthew Cogdill | Internal Medicine | 115 Eighth Street Ne, Cedar Rapids, IA 52401-1097 | 2006-07-15 |
| 1871530055 | Jobinson Thomas | Internal Medicine | 411 Laurel St Ste 2350, Des Moines, IA 50314-3026 | 2006-05-31 |
| 1154377463 | Anwar Ahmed | Internal Medicine | 543 7th Street Se, Cedar Rapids, IA 52401 | 2006-05-26 |
| 1326094095 | Caridad C Tan | Internal Medicine | 2730 Pierce St Ste 402a, Sioux City, IA 51104-3766 | 2006-05-25 |
| 1043265176 | Sharon K Fey | Internal Medicine | 700 4th Street, Ste 410, Sioux City, IA 51101 | 2006-05-24 |
| 1407801053 | Min-hwa Hwa Chow | Internal Medicine | 600 4th Street, Suite 103, Sioux City, IA 51101-1415 | 2006-05-23 |
| 1518969104 | Prem K.g. Chandran | Internal Medicine | 411 Laurel St, Suite 2350, Des Moines, IA 50314 | 2005-08-12 |
| 1063418374 | Mouhamed Walid Al Sheikha | Internal Medicine | 200 Cody Rd S, Le Claire, IA 52753-9579 | 2005-06-22 |
| Find all providers with the same taxonomy | ||||
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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.