RAJA KOLISETTI (NPI# 1861460214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861460214 |
| Entity Type | Individual |
| Full Name | RAJA KOLISETTI |
| Credential | MD |
| Practice Address |
107 Prospect St Attica NY 14011-1149 |
| Mailing Address |
Po Box 333 Batavia NY 14021-0333 |
| Practice Telephone | 5855916000 |
| Practice Fax Number | 5855916962 |
| Mailing Telephone | 5855916000 |
| Mailing Fax Number | 5855916962 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2010-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 185959 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0160325 | 05 |
| Street Address |
107 PROSPECT ST |
| City | ATTICA |
| State | NY |
| Zip Code | 14011-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679986681 | Attica Family Medicine, Pllc | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2014-06-06 |
| 1740586536 | Raja Kolisetti | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2011-01-27 |
| 1659682441 | Nitin Arora | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2010-06-25 |
| 1396939518 | Sreelatha Ukkadam | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2007-08-30 |
| 1467480293 | Ned C Jordan | Physician Assistant | 107 Prospect St, Attica, NY 14011-1149 | 2006-06-29 |
| 1750337218 | Carol Dawn Batra | Nurse Practitioner | 107 Prospect St, Attica, NY 14011-1149 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376702423 | Ronette Ann Wolcott | Registered Nurse | 33 Water Street, Attica, NY 14011 | 2008-06-04 |
| 1275629875 | Joseph Allan Craddock | Dentist | 3325 E Main Street Rd, Attica, NY 14011 | 2006-10-04 |
| 1184694887 | Patricia Mann | Physical Therapist | 120 Prospect St, Step By Step Physical Therapy, Attica, NY 14011 | 2006-01-25 |
| 1487059176 | Young Sung Jun | General Practice | 3203 Dunbar Road, Attica, NY 14011-0501 | 2014-10-24 |
| 1144479742 | Jennifer Smith | Licensed Practical Nurse | 122 Market St, Attica, NY 14011-1011 | 2008-09-18 |
| 1720130388 | Daryle Nathan Luplow | Chiropractor | 23 Main St, Attica, NY 14011-1022 | 2007-01-16 |
| 1437609450 | Attica Pharmacy, Inc. | Pharmacy | 2 Market St, Attica, NY 14011-1024 | 2016-10-13 |
| 1497049142 | Diane K Melven | Licensed Practical Nurse | 68 North St, Attica, NY 14011-1035 | 2011-05-29 |
| 1932424553 | Willcare | Home Health | 57 Main St, Attica, NY 14011-1038 | 2010-04-07 |
| 1205312758 | Baley Mallon | Licensed Practical Nurse | 6 Main St Apt B, Attica, NY 14011-1064 | 2018-07-18 |
| Find all providers in zip 14011 | ||||
| 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 |
|---|---|---|---|---|
| 1679986681 | Attica Family Medicine, Pllc | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2014-06-06 |
| 1740586536 | Raja Kolisetti | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2011-01-27 |
| 1659682441 | Nitin Arora | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2010-06-25 |
| 1396939518 | Sreelatha Ukkadam | Family Medicine | 107 Prospect St, Attica, NY 14011-1149 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.