DR. VIDYASAGAR REDDY VANGALA (NPI# 1679568133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679568133 |
| Entity Type | Individual |
| Full Name | DR. VIDYASAGAR REDDY VANGALA |
| Credential | M.D. |
| Practice Address |
2504 Sand Mine Rd Davenport FL 33897-3402 |
| Practice Telephone | 8634197645 |
| Practice Fax Number | 8634197655 |
| Mailing Telephone | 8634197645 |
| Mailing Fax Number | 8634197655 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2014-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME82811 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | 79180 | 01 | |
| FL | 267311800 | 05 |
| Street Address |
2504 SAND MINE RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336783 | Yolande Marie Eckrich | Physician Assistant | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-10-09 |
| 1952502429 | Srikanth Padma | Transplant Surgery | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2007-05-30 |
| 1376599472 | Mid-florida Psychiatry Center Pl | Clinic/Center | 2504 Sand Mine Rd, Davenport, FL 33897-3402 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958264 | Qualicare Psychiatry L.L.C. | Psychiatry & Neurology | 42725 Us-27, Suite # 202, Davenport, FL 33837 | 2016-08-28 |
| 1942613955 | Center for Behavioral Health Iowa, Inc. | Psychiatry & Neurology | 3811 N Harrison St, Davenport, IA 52806-5911 | 2014-06-06 |
| 1912163866 | Fady Ashamalla | Psychiatry & Neurology | 42725 Highway 27, Ste 202, Davenport, FL 33837-6821 | 2008-07-31 |
| 1174576169 | Joseph Michael Bertroche | Psychiatry & Neurology | 4622 Progress Dr, Suite A, Davenport, IA 52807-3426 | 2006-05-18 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1912991340 | Ghada Hamdan-allen | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2005-08-31 |
| 1407274293 | Mi Nelson | Psychiatry & Neurology | 4622 Progress Dr, Davenport, IA 52807-3426 | 2014-03-31 |
| 1336450790 | Henry Frank Emerle | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2010-06-30 |
| 1649307331 | Alice J. Harpring | Psychiatry & Neurology | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2007-02-28 |
| 1588694012 | Rickey L. Wilson | Psychiatry & Neurology | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2006-07-03 |
| Find all providers in DAVENPORT | ||||
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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.