VIDYA VADDEMPUDI (NPI# 1710112370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112370 |
| Entity Type | Individual |
| Full Name | VIDYA VADDEMPUDI |
| Credential | MD |
| Practice Address |
1202 Nw Arlington Ave Lawton OK 73507-6537 |
| Practice Telephone | 5802482288 |
| Mailing Telephone | 5802482288 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27011 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1202 NW ARLINGTON AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398240 | Penny L Hoover | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2006-06-01 |
| 1437719465 | Comanche County Hospital Authority | Clinic/Center | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2019-06-20 |
| 1780176859 | Shannon Megan Dave | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2018-06-04 |
| 1740797182 | Raven Jeaneene Piontek | Registered Nurse | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2018-01-08 |
| 1346778644 | Shane Hoon Lee | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-05-31 |
| 1790210912 | Kiran Mendha | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2017-04-25 |
| 1700311396 | Brenda Guzman | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Southwest Oklahoma Family Medicine Residency, Lawton, OK 73507-6537 | 2017-04-20 |
| 1710331442 | Muhammad Zeeshan Siddiqui | Student in an Organized Health Care Education/Training Program | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-19 |
| 1265896161 | Samiya Khan | Family Medicine | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2016-04-07 |
| 1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604376 | Comanche County Healthcare Corporation | Family Medicine | 3201 W Gore Blvd Ste G1, Lawton, OK 73505-6308 | 2020-03-13 |
| 1578008827 | Acellerated Interventional Orthopedics | Family Medicine | 5370 Nw Cache Rd Ste 4, Lawton, OK 73505-3371 | 2016-12-22 |
| 1760838445 | Samms LLC | Family Medicine | 1222 Nw Cache Rd, Lawton, OK 73507-4036 | 2016-05-11 |
| 1164804837 | Xpress Wellness LLC | Family Medicine | 6744 Nw Cashe Road, Lawton, OK 73505 | 2015-06-18 |
| 1225416720 | Anson Lukose | Family Medicine | 5606 Sw Lee Blvd Ste 304, Lawton, OK 73505-9618 | 2015-05-15 |
| 1275911885 | Ilona Yurfeld | Family Medicine | 3201 W Gore Blvd Ste 301, Lawton, OK 73505 | 2015-05-14 |
| 1467765941 | Mayank Dave Mdpc | Family Medicine | 5606 Sw Lee Blvd Ste 202, Lawton, OK 73505-9689 | 2010-07-26 |
| 1972631067 | Daryl E. Birdwell, M.d., Inc. | Family Medicine | 4417 W Gore Blvd Ste 2, Lawton, OK 73505-5978 | 2007-03-01 |
| 1073693917 | John C Loose | Family Medicine | 3201 W Gore Blvd Ste 305, Memorial Medical Group, Lawton, OK 73505-6350 | 2006-10-16 |
| 1891718631 | Donnie S Beasley | Family Medicine | 310 White Oak Rd, Lawton, MI 49065-9705 | 2006-07-25 |
| Find all providers in LAWTON | ||||
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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.