DR. M NIRANJAN REDDY (NPI# 1780640102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780640102 |
| Entity Type | Individual |
| Full Name | DR. M NIRANJAN REDDY |
| Credential | MD |
| Practice Address |
630 W Main St Ste 105 Wilmington OH 45177-2171 |
| Mailing Address |
540 Lincoln Park Blvd Suite 200 Dayton OH 45429-6401 |
| Practice Telephone | 9372839888 |
| Mailing Telephone | 9372988058 |
| Mailing Fax Number | 9372985638 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35071418R | OH | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
35071418 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2270957 | 05 | |
| MEDICARE RR | 110227392 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 540 Lincoln Park Blvd, Suite 200, Kettering, OH 454296401 | 9372988058 | 9372985638 |
| Street Address |
630 W MAIN ST STE 105 |
| City | WILMINGTON |
| State | OH |
| Zip Code | 45177-2171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122868 | Syed S Husain | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-02-08 |
| 1992107320 | Sara Marie Williams | Audiologist | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2014-09-17 |
| 1669586269 | John Mcbarron Hodgson | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-08-19 |
| 1003871963 | Raja A. Nazir | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-04-20 |
| 1467415406 | James Edward Schmidt | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-04-10 |
| 1184685273 | Lenora A Fitton | Pediatrics | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-03-29 |
| 1023082278 | Rakesh R Chawla | Internal Medicine | 630 W Main St Ste 105, Wilmington, OH 45177-2171 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
| 1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
| 1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
| 1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
| 1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
| 1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
| 1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
| 1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
| 1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
| Find all providers in zip 45177 | ||||
| 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 |
|---|---|---|---|---|
| 1750784849 | St. Francis Hospital Inc. | Internal Medicine | 701 N. Clayton Street, Msb Suite 601, Wilmington, DE 19805-3165 | 2014-10-02 |
| 1306142773 | Carolina Healthcare Associates, Inc. | Internal Medicine | 2150 Shipyard Blvd, Wilmington, NC 28403-8052 | 2011-02-02 |
| 1306088737 | Sunil Iyer | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2009-03-31 |
| 1659597169 | Joshua Spencer | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2007-04-17 |
| 1225146210 | William Buchanan | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2006-08-29 |
| 1609836279 | David Weaver | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2006-03-27 |
| 1346226354 | Frederick Meine IIi | Internal Medicine | 1415 Physicians Dr, Wilmington, NC 28401-7338 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799347 | Warren Endovascular Associates LLC | Internal Medicine | 1950 Niles Cortland Rd Ne Ste 12, Warren, OH 44484-1077 | 2020-08-07 |
| 1821570128 | Rishi Puri | Internal Medicine | 9500 Euclid Ave # J2-208, Cleveland, OH 44195-0001 | 2018-09-04 |
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1316445695 | Cardiac Cin of Cincinnati LLC | Internal Medicine | 9435 Waterstone Blvd Ste 140-302, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1720462591 | Midwest Access Services LLC | Internal Medicine | 7335 Yankee Rd Ste 101, Liberty Township, OH 45044-0008 | 2015-07-12 |
| 1306878863 | Medcentral Professional Association Inc. | Internal Medicine | 308 Glessner Ave, Mansfield, OH 44903-2225 | 2006-07-07 |
| 1629077961 | Gregory J Wood | Internal Medicine | 7200 Mentor Ave, Mentor, OH 44060-7522 | 2005-07-19 |
| 1508865213 | Joseph Michael Surmitis | Internal Medicine | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2005-07-15 |
| 1851396428 | Puvi N Seshiah | Internal Medicine | 3219 Clifton Ave, Suite 400, Cincinnati, OH 45220-3027 | 2005-06-20 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 45177 |
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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.