DR. DEEPTHI VODNALA (NPI# 1699903690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699903690 |
| Entity Type | Individual |
| Full Name | DR. DEEPTHI VODNALA |
| Credential | M.D. |
| Practice Address |
12330 Metcalf Ave Suite 280 Overland Park KS 66213 |
| Mailing Address |
Po Box 505008 Saint Louis MO 63150-5008 |
| Practice Telephone | 8169311883 |
| Mailing Telephone | 8165027000 |
| Mailing Fax Number | 8169327957 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301094198 | MI | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2015009833 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
04-38781 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
2015009833 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
12330 METCALF AVE SUITE 280 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012523 | Stephen M Gordon | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2005-06-13 |
| 1336592930 | Ashley Irene Heimsoth | Nurse Practitioner | 12330 Metcalf Ave, Ste. 400, Overland Park, KS 66213-1324 | 2016-07-19 |
| 1104160365 | Crystal Krueger | Nurse Practitioner | 12330 Metcalf Ave, Suite 400, Overland Park, KS 66213-1324 | 2012-11-12 |
| 1952656977 | Jennifer Rose Kenz Litwin | Obstetrics & Gynecology | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2012-07-16 |
| 1497061030 | Family Health Medical Group of Overland Park, LLC | Family Medicine | 12330 Metcalf Ave, Suite 500, Overland Park, KS 66213-1324 | 2010-08-20 |
| 1093922098 | Debbra D. Bazata | Dietitian, Registered | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2007-05-17 |
| 1871712380 | Richard B. Price, M.d., P.a. | Otolaryngology | 12330 Metcalf Ave, Suite 550, Overland Park, KS 66213-1324 | 2007-04-24 |
| 1700930476 | Tamera L Nation | Nurse Practitioner | 12330 Metcalf Ave, Ste. 420, Overland Park, KS 66213-1324 | 2007-01-22 |
| 1871674598 | Cardiovascular Conltants, PC | Internal Medicine | 12330 Metcalf Ave, Suite 280, Overland Park, KS 66213-1324 | 2006-10-18 |
| 1295820983 | Janella F Dewitt | Physician Assistant | 12330 Metcalf Ave, Ste. 500, Overland Park, KS 66213-1324 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.