DR. GEETHA R KOMATIREDDY (NPI# 1861421687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861421687 |
| Entity Type | Individual |
| Full Name | DR. GEETHA R KOMATIREDDY |
| Credential | MD |
| Practice Address |
3098 Oak Grove Rd Poplar Bluff MO 63901-1908 |
| Mailing Address |
Po Box 405461 Atlanta GA 30384-5461 |
| Practice Telephone | 5737270551 |
| Practice Fax Number | 5737279190 |
| Mailing Telephone | 5737270551 |
| Mailing Fax Number | 5737279190 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
R3N00 | MO | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
E4716 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 20316800 | 05 |
| Street Address |
3098 OAK GROVE RD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077660 | Kean D Griffith | Surgery | 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 2006-01-11 |
| 1710420088 | Jamie Murray | Nurse Practitioner | 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 2016-11-18 |
| 1386834414 | Ashley Nicole Newman | Specialist/Technologist, Other | 3098 Oak Grove Rd, Poplar Bluff, MO 63901 | 2007-07-25 |
| 1285849927 | Raghuveer Kura | Internal Medicine | 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 2007-05-14 |
| 1205053758 | Farrah Traquel Mcspadden | Obstetrics & Gynecology | 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 2007-04-19 |
| 1598710147 | Poplar Bluff Hma Physician Management, LLC | Internal Medicine | 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1922279124 | Emilia Dulgheru Rheumatology LLC | Internal Medicine | 2400 Lucy Lee Pkwy, Suite A, Poplar Bluff, MO 63901-2429 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164277 | Rheum Care LLC | Internal Medicine | 1301 Ymca Drive, Suite 600, Festus, MO 63028-2608 | 2020-05-01 |
| 1801216551 | Joshy Thomas Pathiparampil | Internal Medicine | 12700 Southfork Rd Ste 235, Saint Louis, MO 63128-3201 | 2014-04-21 |
| 1700152048 | Ali Medical LLC | Internal Medicine | 300 Medical Plz Ste 100, Lake St Louis, MO 63367-1484 | 2012-03-30 |
| 1740552280 | David M. Lieberman | Internal Medicine | 28 Nantucket Ln, Saint Louis, MO 63132-4137 | 2012-01-30 |
| 1023306040 | Adam Maxwell Parker | Internal Medicine | 12255 Depaul Drive Suite 500, Bridgeton, MO 63044 | 2011-07-11 |
| 1316113467 | Hopkins Rheumatology PC | Internal Medicine | 412 Nw Mock Ave Ste A, Blue Springs, MO 64014-2541 | 2008-05-07 |
| 1932393162 | Celia Jow Fang Lin | Internal Medicine | 1800 S Brentwood Blvd, #1116, Saint Louis, MO 63144-1820 | 2007-08-30 |
| 1275734543 | Melinda Renee Reed | Internal Medicine | 2900 Independence Sq, West Plains, MO 65775-4238 | 2007-05-31 |
| 1942414198 | Ronald Joseph Auclair | Internal Medicine | 460 N Taylor Ave, Kirkwood, MO 63122-4461 | 2007-05-09 |
| 1114014867 | Terry L. Moore | Internal Medicine | 3660 Vista Ave., St. Louis, MO 63110 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.