VENKATA RAVI KIRAN KADIPI REDDY (NPI# 1528259397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528259397 |
| Entity Type | Individual |
| Full Name | VENKATA RAVI KIRAN KADIPI REDDY |
| Credential | M.D. |
| Practice Address |
2793 Lineville Road Green Bay WI 54307 |
| Mailing Address |
2793 Lineville Road P O Box 19070 Green Bay WI 54307 |
| Practice Telephone | 9204964700 |
| Practice Fax Number | 9204964704 |
| Mailing Telephone | 9204964700 |
| Mailing Fax Number | 9204964704 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 54108-020 | WI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2007012349 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2793 LINEVILLE ROAD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525049 | Brittany Walczyk | Registered Nurse | 2710 Executive Drive, Green Bay, WI 54307 | 2018-07-25 |
| 1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
| 1255526455 | Tasha Joy Malvitz | Speech-Language Pathologist | 1673 Dousman Street, Green Bay, WI 54307-2770 | 2007-09-11 |
| 1649292772 | Sherri Claire Szczepanski | Registered Nurse | 1727 Shawano Ave., Prevea Health, Green Bay, WI 54307-3008 | 2006-07-25 |
| 1063423200 | Jonathan William Strom | Pharmacist | 744 South Webster Ave, Green Bay, WI 54307-3400 | 2006-08-11 |
| 1598743239 | Theresa Marie Shuck | Counselor | 835 South Vanburen Street, St. Vincent Hospital- Women's Services, Green Bay, WI 54307-3508 | 2006-01-04 |
| 1992122485 | Stephanie Julius | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2014-03-24 |
| 1922271907 | Kelechi Ngozi Chiori-omotoso | Hospitalist | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2008-04-10 |
| 1659467595 | Brenda J Chaet | Occupational Therapist | 835 South Vanburen Street, Green Bay, WI 54307-3508 | 2006-10-05 |
| 1184602633 | Sumedha Ghate | Genetic Counselor, MS | 835 S Van Buren St, St. Vincent Hospital - Genetics Clinic, Green Bay, WI 54307-3508 | 2006-01-05 |
| Find all providers in zip 54307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104022128 | Bellin Memorial Hospital Inc | Family Medicine | 704 S Webster Ave Ste 201, Green Bay, WI 54301-3528 | 2007-06-26 |
| 1942336839 | Richard Gordon Heidorn | Family Medicine | 2833 Riverside Dr, Green Bay, WI 54301-1635 | 2007-02-26 |
| 1720137656 | Daniel G Koster Md Sc | Family Medicine | 744 S Webster Ave Fl 5, Green Bay, WI 54301-3505 | 2007-01-09 |
| 1356424691 | Marjorie J Delo | Family Medicine | 2595 Development Dr Ste 140, Green Bay, WI 54311-4267 | 2006-10-23 |
| 1700894433 | Suzanne H Barnes | Family Medicine | 1565 Allouez Ave, Green Bay, WI 54311 | 2006-08-05 |
| 1407871684 | John Tracy Warren | Family Medicine | 1685 Macarthur St, Green Bay, WI 54301-2454 | 2006-07-12 |
| 1255364642 | Gail S Carels | Family Medicine | 2502 S. Ashland Ave, Green Bay, WI 54304 | 2006-07-08 |
| 1346293941 | Bellin Memorial Hospital Inc | Family Medicine | 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 | 2006-05-18 |
| 1073566725 | Bellin Memorial Hospital Inc | Family Medicine | 2015 Shawano Ave, Green Bay, WI 54303-2606 | 2006-05-17 |
| 1780647040 | Bellin Memorial Hospital Inc | Family Medicine | 704 S Webster Ave Ste 200, Green Bay, WI 54301-3531 | 2006-04-08 |
| Find all providers in GREEN BAY | ||||
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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.