SRINIVAS VENGALA (NPI# 1710032008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710032008 |
| Entity Type | Individual |
| Full Name | SRINIVAS VENGALA |
| Practice Address |
200 Heartcenter Ln Hot Springs AR 71913-6351 |
| Mailing Address |
Po Box 21850 Hot Springs AR 71903-1850 |
| Practice Telephone | 5016258400 |
| Practice Fax Number | 5016258446 |
| Mailing Telephone | 5016258400 |
| Mailing Fax Number | 5016258446 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD072905L | PA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
E-7044 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 187677001 | 05 |
| Street Address |
200 HEARTCENTER LN |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71913-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336194 | Stanley Stephen Josef | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2005-06-16 |
| 1275007072 | Alisha K Nichols | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2019-01-15 |
| 1548733603 | Brandi L Madaka | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2019-01-10 |
| 1841799517 | Carrie A Cobb | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2018-02-07 |
| 1457874208 | Julia B Norris | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2017-07-24 |
| 1629483201 | Terri Wells | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2014-06-23 |
| 1881037414 | Jason Thomas Pelton | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2013-04-13 |
| 1770891970 | Nazneen Tata | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2010-09-22 |
| 1376716290 | Yuba Raj Acharya | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2008-04-11 |
| 1881725125 | Jane Ellen Phillips | Nurse Practitioner | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1164986600 | Whitley Bryant | Behavior Technician | 219 Rockwell St, Hot Springs, AR 71913 | 2019-01-29 |
| 1841760436 | Lauren Danielle Bolding | Occupational Therapist | 4328 Central Ave Suite M, Hot Springs, AR 71913 | 2018-11-27 |
| 1164906673 | Rebecca Lynne Cleveland | Occupational Therapy Assistant | 181 Cornerstone, Hot Springs, AR 71913 | 2018-09-20 |
| 1689160293 | American Oncology Partners, P.a. | Internal Medicine | 1455 Higdon Ferry Rd Ste B, Hot Springs, AR 71913 | 2018-07-06 |
| 1932694692 | Healthstar Physicians of Hot Springs, Pllc | Radiology | 120 Adcock Rd Ste B, Hot Springs, AR 71913 | 2018-06-26 |
| 1043708001 | Statco-palmer, Inc | Audiologist | 4501 Central Avenue, Suite 174, C-6, Hot Springs, AR 71913 | 2018-04-25 |
| 1083133532 | Laken Nicolle Baldwin | Physical Therapist | 1635 Higdon Ferry Road, Ste G, Hot Springs, AR 71913 | 2017-09-15 |
| 1316463730 | Arkansas Home Care Assistance, LLC | In Home Supportive Care | 3955 Central Ave Ste 4, Hot Springs National Park, AR 71913 | 2017-08-17 |
| 1336675701 | Joni Westbrook | Case Manager/Care Coordinator | 154 Cornerstone, Hot Springs, AR 71913 | 2017-05-04 |
| Find all providers in zip 71913 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336194 | Stanley Stephen Josef | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2005-06-16 |
| 1770891970 | Nazneen Tata | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2010-09-22 |
| 1679730444 | Saint Patrick Hospital and Health Sciences Center | Internal Medicine | 209 Main St, Hot Springs, MT 59845-9342 | 2008-05-20 |
| 1942265541 | Michael A Frais | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2006-04-18 |
| 1699770271 | Frederick Michael Heinemann | Internal Medicine | 200 Heartcenter Ln, Hot Springs, AR 71913-6351 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497041982 | Jerson Munoz Mendoza | Internal Medicine | 3343 Springhill Dr Ste 1035, North Little Rock, AR 72117-2930 | 2011-06-22 |
| 1225126626 | Lensey Crashun Scott | Internal Medicine | 525 Western Ave Ste 202, Conway, AR 72034-4980 | 2006-10-11 |
| 1982648663 | Northwest Arkansas Heart & Vascular Center | Internal Medicine | 3211 N. North Hills Blvd., Suite 110, Fayetteville, AR 72703 | 2006-06-15 |
| 1306889407 | Loyd E Nugent | Internal Medicine | 2701 Se J St, Bentonville, AR 72712-4266 | 2006-06-14 |
| 1023072808 | David A Churchill | Internal Medicine | 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | 2006-04-17 |
| 1508825647 | L. Parker Norris | Internal Medicine | 625 United Dr Ste 220, Conway, AR 72032-7835 | 2006-03-18 |
| 1740266998 | Vishwanatha S Nadig | Internal Medicine | 405 E Collin Raye Dr Ste C, De Queen, AR 71832 | 2005-12-20 |
| 1851386833 | Aldo Vicente Fonticiella | Internal Medicine | 619 W Grove St, El Dorado, AR 71730-4413 | 2005-09-15 |
| 1114919107 | Allan B Hatch | Internal Medicine | 1000 Highway 35 N, Suite 8, Benton, AR 72019-2351 | 2005-08-17 |
| 1437154036 | Jeffrey George Tauth | Internal Medicine | 110 Cracker Box Ln, Hot Springs National Park, AR 71913-5418 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71913 |
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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.