DR. JAYARAMAKRISHNA DEPA (NPI# 1851732911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851732911 |
| Entity Type | Individual |
| Full Name | DR. JAYARAMAKRISHNA DEPA |
| Credential | M.D |
| Practice Address |
37 Ball Park Rd Harlan KY 40831-1701 |
| Practice Telephone | 6065734520 |
| Practice Fax Number | 6065748383 |
| Mailing Telephone | 6065734520 |
| Mailing Fax Number | 6065736392 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
50838 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | P01687 | NY | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 37 Ball Park Rd, Harlan, KY 408311701 | 6065734520 | 6065736392 |
| 7901 Broadway, C7-10, Elmhurst, NY 11373 | 7183343930 |
| Street Address |
37 BALL PARK RD |
| City | HARLAN |
| State | KY |
| Zip Code | 40831-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959881 | Samir Guindi | Otolaryngology | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2005-08-22 |
| 1386284123 | Jennifer R Summers | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2020-01-09 |
| 1881257384 | Donna Kaye Saylor | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2019-04-19 |
| 1952864860 | Kathyrine Olivia Mclain | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831 | 2019-04-08 |
| 1265913248 | Robin Lynn Jacobs-pope | Physician Assistant | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2018-08-27 |
| 1184131419 | John Brandon Williams | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2018-01-09 |
| 1609255181 | Opal Prevatt | Internal Medicine | 37 Ball Park Rd, Harlan, KY 40831 | 2015-05-29 |
| 1902213986 | Tammy Walters | Nurse Practitioner | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2014-07-22 |
| 1558795377 | Olubunmi Olatayo Esan | Surgery | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2013-08-28 |
| 1649527094 | Shyam Subramanya Ganti | Internal Medicine | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795261 | Hometown Urgent Care | Clinic/Center | 101 Green Terrace, Harlan, KY 40831 | 2020-09-21 |
| 1093243727 | Right Choice Counseling | Counselor | 53 Meadowbrook Lane, Harlan, KY 40831 | 2017-05-25 |
| 1639515935 | Harlan County Health Department Inc/ Cawood Elementary School | Public Health or Welfare | 51 Nola St, Cawood, KY 40831 | 2013-05-14 |
| 1487090775 | Harlan County Health Department Inc/james A Cawood Elementary School | Public Health or Welfare | 269 Ball Park Road, Harlan, KY 40831 | 2013-05-14 |
| 1336278175 | Newton Samuel Guy IIi | Dentist | 303 Mound St, Harlan, KY 40831 | 2007-03-05 |
| 1033256904 | Earlene A. Napier | Counselor | 15 Eula Gray Street, Harlan, KY 40831 | 2007-01-31 |
| 1538265400 | Kirpal S Sidhu | Orthopaedic Surgery | 29 Eula Gray Street, Harlan, KY 40831 | 2006-09-16 |
| 1508977067 | Gursharan Kaur Sidhu | Pediatrics | 29 Eula Gray St, Gursharan Kaur Sidhu Md, Harlan, KY 40831 | 2006-08-31 |
| 1649229725 | Timothy Logan Yost | Physical Therapist | 100 Professional Lane, Suite 102, Harlan, KY 40831 | 2006-05-08 |
| 1881693471 | Medical Services of America Inc | Emergency Response System Companies | 2307 W Hwy 72, Bldg B, Unit 2, Harlan, KY 40831 | 2005-07-18 |
| Find all providers in zip 40831 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1124665807 | Means Adult Primary Care Clinic of Kentucky Pllc | Internal Medicine | 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 | 2019-12-02 |
| 1932587300 | Hopkinsville Kidney Care Pllc | Internal Medicine | 215 Burley Ave, Suite 2, Hopkinsville, KY 42240-8725 | 2015-05-18 |
| 1124419668 | Hardin County Primary Care Pllc | Internal Medicine | 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 | 2015-02-05 |
| 1245641307 | Mustafa S Mawih | Internal Medicine | 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 | 2014-05-12 |
| 1174784466 | Jennifer Hughes Shuemaker | Internal Medicine | 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | 2008-06-19 |
| 1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
| 1881874592 | Eastern Kentucky Kidney Care, Psc | Internal Medicine | 141 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2007-11-09 |
| 1932398120 | Sujata Reddy, Md., Pllc | Internal Medicine | 930 Happy Valley Rd, Glasgow, KY 42141-1332 | 2007-10-24 |
| 1316136567 | Elisha Lancaster | Internal Medicine | 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 | 2007-10-23 |
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
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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.