DR. SARAT KUMAR VADDINENI (NPI# 1659328508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659328508 |
| Entity Type | Individual |
| Full Name | DR. SARAT KUMAR VADDINENI |
| Credential | M.D. |
| Practice Address |
601 John Street Suite M-283 Kalamazoo MI 49007 |
| Mailing Address |
601 John St Suite M-283 Kalamazoo MI 49007-5341 |
| Practice Telephone | 2693497696 |
| Practice Fax Number | 2693490610 |
| Mailing Telephone | 2693497696 |
| Mailing Fax Number | 2693490610 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301083594 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM - BMH | 1417961137 | 01 |
| MI | 1659328508 | 05 | |
| MI | BCBS | 0203912341 | 01 |
| MI | 487650110 | 05 | |
| MI | BCBS (BRONSON) | 1417961137 | 01 |
| Street Address |
601 JOHN STREET SUITE M-283 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894571 | Viola Saylor | Physician Assistant | 601 John Street, Suite M124, Kalamazoo, MI 49007-5341 | 2005-07-07 |
| 1407236607 | Shawkee Aboualayoui | Internal Medicine | 601 John Street, Kalamazoo, MI 49007 | 2015-06-02 |
| 1518356682 | Katrice Renee Woodward | Nurse Practitioner | 601 John Street, Box 74, Kalamazoo, MI 49007 | 2015-01-13 |
| 1548531510 | Jennifer Lyn Winkel | Nurse Practitioner | 601 John Street, Kalamazoo, MI 49007 | 2012-01-23 |
| 1316246192 | Julie Anne Brownell | Urology | 601 John Street, Sutie M318, Kalamazoo, MI 49007-5341 | 2011-03-20 |
| 1538493523 | Brittany Joy Post | Obstetrics & Gynecology | 601 John Street, Suite M-318, Kalamazoo, MI 49007-5383 | 2009-09-24 |
| 1124248943 | Karen Small | Advanced Practice Midwife | 601 John Street, Suite N1200, Kalamazoo, MI 49007-5341 | 2007-04-26 |
| 1023167343 | Frank James Leonard Vidal | Surgery | 601 John Street, Suite E178, Kalamazoo, MI 49007-5341 | 2007-01-09 |
| 1487726295 | Bronson Methodist Hospital | Physician Assistant | 601 John Street, Kalamazoo, MI 49007 | 2006-11-15 |
| 1326158189 | Debora Frisk | Dietitian, Registered | 601 John Street, Kalamazoo, MI 49007 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821331687 | Satvik Jhamb | Surgery | 601 John St Ste M-460, Kalamazoo, MI 49007-5355 | 2013-03-30 |
| 1619135480 | Syed M.f. Alam | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2008-05-29 |
| 1235337726 | Daniel James Johnston | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2007-07-05 |
| 1588611750 | The Surgical Group of Sw Michigan PC | Surgery | 1535 Gull Rd, Suite 020, Kalamazoo, MI 49048-1650 | 2006-05-31 |
| 1427014414 | John T Collins Jr. | Surgery | 1000 Oakland Dr, Kalamazoo, MI 49008 | 2006-04-26 |
| 1487619136 | Paragon Health, PC | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1013972769 | Krishna Mohan Jain | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1700841459 | John S Munn | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-18 |
| 1285698134 | Mark C Rummel | Surgery | 1815 Henson Ave, Kalamazoo, MI 49048-1510 | 2006-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.