RAMULU SAMUDRALA (NPI# 1588628986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588628986 |
| Entity Type | Individual |
| Full Name | RAMULU SAMUDRALA |
| Credential | P.C |
| Practice Address |
11155 Dunn Rd Ste 206e Saint Louis MO 63136-6149 |
| Practice Telephone | 3143557880 |
| Practice Fax Number | 3143558899 |
| Mailing Telephone | 3143557880 |
| Mailing Fax Number | 3143558899 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | R6643 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201086105 | 05 |
| Street Address |
11155 DUNN RD STE 206E |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1770047664 | Rachel Marie Biggs | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2019-01-25 |
| 1245720846 | Kathryn Marie Strope | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2018-05-18 |
| 1871006957 | Rebecca Diane Poindexter | Counselor | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2017-11-10 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1316306194 | Kerri A Smith | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2016-02-22 |
| 1386064061 | Kathryn Rushing | Registered Nurse | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2014-04-22 |
| 1780001446 | Susan Hofmann | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2014-03-19 |
| 1114348380 | St Louis Heart and Vascular P.C. | Clinic/Center | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-12-13 |
| 1972845998 | Amanda N Ventimiglia | Nurse Practitioner | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1992140958 | Andrew Robert Lee | Ophthalmology | 660 S Euclid Ave # 8096, Saint Louis, MO 63110-1010 | 2013-05-03 |
| 1083941488 | William Steven Joffe | Ophthalmology | 4912 Mcpherson Ave, Saint Louis, MO 63108-1608 | 2009-11-06 |
| 1033349741 | Nancy Buchser | Ophthalmology | 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110-1032 | 2009-07-16 |
| 1730316449 | Augustine Richard Hong | Ophthalmology | 5201 Mid America Plz Ste 2500, Ste 2500, Saint Louis, MO 63129-0002 | 2009-06-20 |
| 1548470032 | Fe Poblete Fuentes | Ophthalmology | 84 Grasso Plz, Saint Louis, MO 63123-3108 | 2007-05-23 |
| 1255543047 | Malaz Safi, M.d., P.C. | Ophthalmology | 8790 Watson Rd Ste 203, Saint Louis, MO 63119-5140 | 2007-05-04 |
| 1063535623 | Therese M Alban | Ophthalmology | 12395 Olive Blvd, Suite 301, Saint Louis, MO 63141-5462 | 2007-04-09 |
| 1902924368 | Eye Specialists of West County, P.C. | Ophthalmology | 777 S New Ballas Rd Ste 218e, Saint Louis, MO 63141-8718 | 2007-03-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.