DR. SHIVA PAVAN PONAMGI (NPI# 1669743118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669743118 |
| Entity Type | Individual |
| Full Name | DR. SHIVA PAVAN PONAMGI |
| Credential | M.D. |
| Practice Address |
1000 1st Dr Nw Austin MN 55912-2941 |
| Practice Telephone | 5074437351 |
| Mailing Telephone | 5074437351 |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 57047 | MN | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 57047 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PERMIT ONLY | NJ | Student, Health Care |
| Street Address |
1000 1ST DR NW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941834 | Diana L Nelson | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2005-06-13 |
| 1811500341 | Mayo Clinic Health System-southeast Minnesota Region | Non-Pharmacy Dispensing Site | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-08-25 |
| 1992325674 | Samantha Jo Barrie | Occupational Therapist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-04-22 |
| 1134752009 | Aejin Kwak | Pharmacist | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2020-02-19 |
| 1518513639 | Sarah Lynne Gerard | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-08-14 |
| 1134684566 | Emily Majerus | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-11 |
| 1154886992 | Jennifer Ann Juers | Nurse Practitioner | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2019-02-06 |
| 1528530821 | Anna Altman | Registered Nurse | 1000 1st Dr Nw, Austin, MN 55912 | 2018-12-26 |
| 1861962045 | Jennifer Rivers | Family Medicine | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-29 |
| 1972072700 | Kevin Todd Bartenberger | Physician Assistant | 1000 1st Dr Nw, Austin, MN 55912-2941 | 2018-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| 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 |
|---|---|---|---|---|
| 1457606642 | Aman Mohammed Odeh | Hospitalist | 7900 Farm To Market Rd 1826, Seton Southwest, Austin, TX 78737 | 2012-07-13 |
| 1366722795 | Expert Care, Pllc | Hospitalist | 1705 Lynnville Trl, Austin, TX 78727-3429 | 2011-08-17 |
| 1194014332 | Elinor Elizabeth Pisano Anspaugh | Hospitalist | 12221 North Mopac Expwy, Austin, TX 78704 | 2011-03-28 |
| 1083840375 | Marek Walczak | Hospitalist | 1781 Spyglass Dr, Apt 246, Austin, TX 78746-6890 | 2009-06-01 |
| 1013063817 | Sunil Reddy Cheruku, Md, Pa | Hospitalist | 900 E 30th St Ste 109, Austin, TX 78705-3323 | 2007-01-25 |
| 1346861606 | Questcare Intensivists Pllc | Hospitalist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2020-04-28 |
| 1154885986 | Austin Medical Partners-imc Louis Ealdama Ramos Md Pllc | Hospitalist | 1201 W 38th St, Austin, TX 78705-1006 | 2019-01-25 |
| 1972011658 | Austin Diagnostic Clinic | Hospitalist | 12221 N Mopac Expy, Austin, TX 78758-2401 | 2018-01-17 |
| 1134574023 | Sami Joseph Bedri | Hospitalist | 901 W Ben White Blvd, Austin, TX 78704-6903 | 2016-04-28 |
| 1013293679 | Seton Hospitalist Service | Hospitalist | 601 E 15th St, Austin, TX 78701-1930 | 2011-10-27 |
| Find all providers in AUSTIN | ||||
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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.