SWATHI PULLELA


Address: 613 23rd St Ste 130, Ashland, KY 41101-2876
Phone: 6063299335

SWATHI PULLELA (NPI# 1588985196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588985196
Entity Type Individual
Full Name SWATHI PULLELA
Credential D.O.
Practice Address 613 23rd St Ste 130
Ashland
KY 41101-2876
Mailing Address Po Box 2379
Ashland
KY 41105-2379
Practice Telephone 6063299335
Practice Fax Number 6063246383
Mailing Telephone 6064086200
Mailing Fax Number 6064086612
Enumeration Date 2010-06-17
Last Update Date 2017-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RN0300X Internal Medicine
Specialization: Nephrology
34.012296 OH Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
03995 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM BCBS 000001053047 01
OH RR MEDICARE P01727533 01
OH 0179603 05
KY 7100433230 05
KY RR MEDICARE P01729175 01

Office Location

Street Address 613 23RD ST STE 130
City ASHLAND
State KY
Zip Code 41101-2876

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750375135 James W. Egel Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2005-08-31
1215573647 Jesse Brent Sergent Nurse Practitioner 613 23rd St Ste 130, Ashland, KY 41101-2876 2019-11-20
1710429113 Ashli Davett Bowling Nurse Practitioner 613 23rd St Ste 130, Ashland, KY 41101-2876 2016-11-16
1013365279 Tracy Ricewick Nurse Practitioner 613 23rd St Ste 130, Ashland, KY 41101-2876 2016-05-28
1184912453 Kings Daughters Medical Specialties Inc Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2011-07-20
1760711782 Womens Care Group Inc Obstetrics & Gynecology 613 23rd St Ste 130, Medical Plaza B, Ashland, KY 41101-2876 2009-12-22
1881851087 Charbel Antoine Salem Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2008-05-16
1831371368 John Michael Kasey Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2007-11-27
1013126564 Ryann Acquino Pangan Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2007-05-22
1235123621 Donald N Hammonds Jr. Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2005-08-31
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1245786078 Lindsay Marie Hagerman Respiratory Therapist, Registered 2413 Bradley Drive, Ashland, KY 41101 2016-08-31
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1770813487 Paula Jean Hogsten Clinical Nurse Specialist 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 2009-12-31
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770594061 Tri State Nephrology Associates Psc Internal Medicine 432 16th St Ste B, Ashland, KY 41101-7693 2006-08-11
1669466058 Jerry W Lockard Internal Medicine 432 16th St, Suite B, Ashland, KY 41101-7693 2005-08-31
1750375135 James W. Egel Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2005-08-31
1619118759 The Duluth Clinic, Ltd Internal Medicine 1913 Beaser Ave, Ashland, WI 54806-3604 2009-03-19
1881851087 Charbel Antoine Salem Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2008-05-16
1831371368 John Michael Kasey Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2007-11-27
1013126564 Ryann Acquino Pangan Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2007-05-22
1235123621 Donald N Hammonds Jr. Internal Medicine 613 23rd St Ste 130, Ashland, KY 41101-2876 2005-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124665807 Means Adult Primary Care Clinic of Kentucky Pllc Internal Medicine 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 2019-12-02
1932587300 Hopkinsville Kidney Care Pllc Internal Medicine 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 2015-05-18
1124419668 Hardin County Primary Care Pllc Internal Medicine 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 2015-02-05
1245641307 Mustafa S Mawih Internal Medicine 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 2014-05-12
1174784466 Jennifer Hughes Shuemaker Internal Medicine 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 2008-06-19
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1881874592 Eastern Kentucky Kidney Care, Psc Internal Medicine 141 Weddington Branch Rd, Pikeville, KY 41501-3204 2007-11-09
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1881887685 Hania Kassem Internal Medicine 716 W. Broadway, Louisville, KY 40202-2216 2007-08-24
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Competitor

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City ASHLAND
Zip Code 41101

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Dataset Information

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.

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