DR. DEEPTHI TARIGOPULA (NPI# 1780998344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780998344 |
| Entity Type | Individual |
| Full Name | DR. DEEPTHI TARIGOPULA |
| Credential | M.D |
| Practice Address |
1575 Beam Ave Maplewood MN 55109-1126 |
| Practice Telephone | 6512327000 |
| Mailing Telephone | 6512327000 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2013-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 57112 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
1575 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447468 | Darcy Ross Mcbride | Radiology | 1575 Beam Ave, Health East Cancer Care, Maplewood, MN 55109-1126 | 2005-06-15 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1972075406 | Baylee Nahan | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-12-21 |
| 1770087058 | Anna Rae Shelley | Genetic Counselor, MS | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-03-21 |
| 1922508605 | Jason Krier | Nurse Anesthetist, Certified Registered | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-02-19 |
| 1568970051 | Rachel Holen | Emergency Medicine | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-18 |
| 1366959652 | Gabrielle Mae Blia Lee | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2018-01-08 |
| 1962925479 | Yeng Lor | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1396268801 | De Mo Soe | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
| 1437672946 | Way Ber | Interpreter | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2017-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841623170 | Donald Christmas | Internal Medicine | 329 Boyden Ave, Maplewood, NJ 07040-3011 | 2013-08-09 |
| 1265729255 | Elizabeth Jones Crandall | Internal Medicine | 580 Prospect Street, Maplewood, NJ 07040 | 2011-06-29 |
| 1326281056 | Yekaterina Aleksandrovna Kuzmenko | Internal Medicine | 1997 Sloan Pl Ste 17, Maplewood, MN 55117-2051 | 2009-04-10 |
| 1952550832 | Rajender K. Arora Md Pa | Internal Medicine | 2168 Millburn Avenue, Suite #2, Maplewood, NJ 07040-2670 | 2008-09-16 |
| 1528273794 | Joseph D Canto | Internal Medicine | 3100 Kennard Street, Suite 100, Maplewood, MN 55109 | 2007-05-11 |
| 1073665485 | Scott D Orenberg | Internal Medicine | 1985 Springfield Ave, Maplewood, NJ 07040-3435 | 2007-01-17 |
| 1841251337 | Donna Andrea Chrisanderson | Internal Medicine | 2040 Millburn Avenue #402, Maplewood, NJ 07040 | 2006-04-01 |
| 1255390498 | Samir N. Salama | Internal Medicine | 3100 Kennard St Ste 100, Maplewood, MN 55109-5466 | 2006-03-17 |
| 1598735540 | Gail M Amundson | Internal Medicine | 2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109-2798 | 2006-01-24 |
| 1063419810 | Samuel T Duncan | Internal Medicine | 2040 Millburn Ave, Suite 303, Maplewood, NJ 07040-3726 | 2005-07-07 |
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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.