DR. SHESHA KALYAN KATAKAM (NPI# 1578720439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578720439 |
| Entity Type | Individual |
| Full Name | DR. SHESHA KALYAN KATAKAM |
| Credential | MD, MPH |
| Practice Address |
1509 State St La Porte IN 46350-3115 |
| Practice Telephone | 2193243431 |
| Practice Fax Number | 2193623802 |
| Mailing Telephone | 2193243431 |
| Mailing Fax Number | 2193623802 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01073004A | IN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD.202228 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000833441 | 01 |
| IN | MEDICARE PTAN | 151020017 | 01 |
| IN | 201188170 | 05 |
| Street Address |
1509 STATE ST |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396382 | Ashley Martin | Occupational Therapist | 1509 State St, La Porte, IN 46350-3115 | 2020-05-04 |
| 1023659018 | Rachel Tomaszewski | Physical Therapist | 1509 State St, La Porte, IN 46350-3115 | 2019-10-01 |
| 1770139057 | Dana Jo Hammons | Speech-Language Pathologist | 1509 State St, La Porte, IN 46350-3115 | 2019-08-13 |
| 1497301964 | Suzanne Marie Hanna | Advanced Practice Midwife | 1509 State St, La Porte, IN 46350-3115 | 2019-08-12 |
| 1588229504 | Jordyn Headley | Speech-Language Pathologist | 1509 State St, La Porte, IN 46350-3115 | 2019-05-06 |
| 1811552110 | Breanne Blankenship | Speech-Language Pathologist | 1509 State St, La Porte, IN 46350-3115 | 2019-05-02 |
| 1104481480 | Krystina Gloria Donoghue | Occupational Therapist | 1509 State St, La Porte, IN 46350-3115 | 2019-05-02 |
| 1649653601 | Melanie Ann Abner | Nurse Practitioner | 1509 State St, La Porte, IN 46350-3115 | 2015-07-08 |
| 1528447299 | Ashley Gacsy | Nurse Practitioner | 1509 State St, La Porte, IN 46350-3115 | 2015-05-27 |
| 1376949727 | Heather Fix | Nurse Practitioner | 1509 State St, La Porte, IN 46350-3115 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447404546 | Lincoln Pediatrics | Pediatrics | 414 Lincolnway, La Porte, IN 46350-3350 | 2008-11-17 |
| 1700064201 | Walker Medical LLC | Pediatrics | 800 Lincolnway Ste 204, La Porte, IN 46350-3472 | 2008-02-06 |
| 1659473809 | Rahman Sahadat Uddin | Pediatrics | 10407 W Fairmont Pkwy, Ste B, La Porte, TX 77571 | 2006-09-01 |
| 1356981435 | First Childrens Pllc | Pediatrics | 400 W Fairmont Pkwy, La Porte, TX 77571-6308 | 2020-01-07 |
| 1871059360 | Genuwin Health Inc | Pediatrics | 6916 W Johnson Rd, La Porte, IN 46350-6548 | 2019-02-20 |
| 1033463708 | Hadeily Evangelina Salazar Hernandez | Pediatrics | 1509 State St, La Porte, IN 46350-3115 | 2012-11-02 |
| 1760746531 | Praveen Singh | Pediatrics | 1509 State St, La Porte, IN 46350-3115 | 2012-06-27 |
| 1013198092 | La Porte Regional Physician Network | Pediatrics | 901 Lincolnway, Suite 302, La Porte, IN 46350-3430 | 2007-11-19 |
| 1447439922 | Usama M Moustafa | Pediatrics | 1509 State St, La Porte, IN 46350-3115 | 2007-10-31 |
| 1891875647 | Roland Hayes Walker | Pediatrics | 6916 W Johnson Rd, La Porte, IN 46350-6548 | 2006-10-16 |
| Find all providers in LA PORTE | ||||
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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.