JAYANTI REDDY (NPI# 1609944362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609944362 |
| Entity Type | Individual |
| Full Name | JAYANTI REDDY |
| Credential | MD |
| Practice Address |
6308 8th Ave Kenosha WI 53143-5031 |
| Mailing Address |
Po Box 88339 Milwaukee WI 53288-0001 |
| Practice Telephone | 4142666229 |
| Practice Fax Number | 4142667638 |
| Mailing Telephone | 4142666229 |
| Mailing Fax Number | 4142667638 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 49923 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BR7530822 | DEA | 01 |
| WI | 34488900 | 05 |
| Street Address |
6308 8TH AVE |
| City | KENOSHA |
| State | WI |
| Zip Code | 53143-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440851 | Janet S Barney | Nurse Practitioner | 6308 8th Ave, Suite 2000, Kenosha, WI 53143-5031 | 2005-07-08 |
| 1669094165 | Simona Slavinskiene | Nurse Practitioner | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-07 |
| 1366063133 | Lisa Neyens | Pharmacist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-05-02 |
| 1164056727 | Michael James Church | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2020-02-23 |
| 1215593009 | Ihc-wound Care Services LLC | Emergency Medicine | 6308 8th Ave, Kenosha, WI 53143-5031 | 2019-05-16 |
| 1609358357 | Samantha M Rhodes | Physical Therapist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2018-08-29 |
| 1063953784 | Megan Roethle | Registered Nurse | 6308 8th Ave, Kenosha, WI 53143-5031 | 2017-03-14 |
| 1043678683 | Sarah Rens | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2016-02-09 |
| 1922472422 | Catherine A Hernandez | Physician Assistant | 6308 8th Ave, Kenosha, WI 53143-5031 | 2015-11-20 |
| 1750779856 | Elliot M Simon | Physician Assistant | 6308 8th Ave, Suite 1020, Kenosha, WI 53143-5031 | 2014-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
| 1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
| 1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
| 1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
| 1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
| 1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
| Find all providers in zip 53143 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184979619 | Ihc Hospitalists LLC | Hospitalist | 6308 8th Ave, Kenosha, WI 53143-5031 | 2012-07-20 |
| 1679899207 | Hetalben Patel | Hospitalist | 10400 75th St, Kenosha, WI 53142-7884 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477896355 | James David Alstott | Hospitalist | 444 W Wilson St Apt 309, Madison, WI 53703-4024 | 2013-03-29 |
| 1871864629 | Malini Guha Majumder | Hospitalist | 2900 W Oaklahoma Ave, Suite 315, Milwaukee, WI 53215 | 2012-01-25 |
| 1255656013 | Hannah Irene Bell | Hospitalist | 1106 Wellesley Rd, Madison, WI 53705 | 2010-04-05 |
| 1639309453 | Eugene Enriquez | Hospitalist | 5665 Golden Rain Ct, New Berlin, WI 53151-8733 | 2009-07-15 |
| 1073742672 | Sudhir Duvuru | Hospitalist | Marshfield Clinic 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2009-07-06 |
| 1760636070 | Ndidiamaka Cecilia Agu | Hospitalist | 835 S. Van Buren St., Green Bay, WI 54301-3526 | 2008-11-13 |
| 1285852889 | Brian Thomas Jubeck | Hospitalist | 1008 Beloit Ct, Madison, WI 53705-2233 | 2007-04-22 |
| 1265458053 | Suzanne Victoria Powell | Hospitalist | 141 Siegler St, Dept of Veterans Affairs, Green Bay, WI 54303-2635 | 2006-07-14 |
| 1023055910 | Margaret M Pearsall | Hospitalist | Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | 2006-06-01 |
| 1205809936 | Allen W. Chu | Hospitalist | 725 American Ave Rm 2036, Prohealth Care Hospitalists Program, Waukesha, WI 53188-5031 | 2006-02-13 |
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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.