SRIKANTH KOTTAPALLY REDDY (NPI# 1912934100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912934100 |
| Entity Type | Individual |
| Full Name | SRIKANTH KOTTAPALLY REDDY |
| Other Name | SRI K REDDY |
| Credential | MD |
| Practice Address |
4812 S 109th East Ave Suite 300 Tulsa OK 74146-5826 |
| Mailing Address |
4802 S 109th East Ave Tulsa OK 74146-5822 |
| Practice Telephone | 9183921400 |
| Practice Fax Number | 9182364587 |
| Mailing Telephone | 9183921400 |
| Mailing Fax Number | 9183921488 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2073307 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100173420C | 05 | |
| OK | RAILROAD MEDICARE | P00216400 | 01 |
| OK | RAILROAD MEDICARE | 250012255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363387 | Srikanth Kunam Reddy | Student in an Organized Health Care Education/Training Program | 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2017-08-29 |
| 1649440744 | Srikanth Arani Reddy | Internal Medicine | 4721 Dallas Ranch Rd, Antioch, CA 94531-8811 | 2008-03-04 |
| 1548335243 | Srikanth Madadi Reddy | Psychiatry & Neurology | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2006-11-21 |
| Street Address |
4812 S 109TH EAST AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154382711 | William Surbeck | Internal Medicine | 4812 S 109th East Ave, Ste. 200, Tulsa, OK 74146-5822 | 2006-03-31 |
| 1619238037 | Jamie Lea Fox | Physical Therapist | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5822 | 2012-06-01 |
| 1366709354 | Lindsay Cunningham | Internal Medicine | 4812 S 109th East Ave, Ste. 200, Tulsa, OK 74146-5826 | 2012-04-16 |
| 1548591498 | Windy Ann Guse | Physician Assistant | 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 | 2010-01-15 |
| 1336326206 | Richard L Drake | Orthopaedic Surgery | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5822 | 2008-01-23 |
| 1376727289 | Christopher R. Martin | Physical Medicine & Rehabilitation | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 | 2007-12-27 |
| 1043359813 | Brian Eugene Lovelace | Orthopaedic Surgery | 4812 S 109th East Ave, Suite 100, Tulsa, OK 74146-5826 | 2007-02-06 |
| 1386672913 | Marchel Word Clements | Orthopaedic Surgery | 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 | 2006-06-30 |
| 1427084318 | Paul David Peterson | Orthopaedic Surgery | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 | 2006-06-23 |
| 1962455725 | William Charles Clark Jr. | Orthopaedic Surgery | 4812 S 109th East Ave, Ste. 300, Tulsa, OK 74146-5826 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446747 | Trenton Michael Royse | Physical Medicine & Rehabilitation | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2018-11-19 |
| 1720234891 | Andrew R Briggeman, Do, LLC | Physical Medicine & Rehabilitation | 6825 S Delaware Ave, Tulsa, OK 74136-4502 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669506978 | Human Performance Center 3 Pllc | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2007-03-16 |
| 1073594651 | Kevin F Dunn | Physical Medicine & Rehabilitation | 11205 N May Ave, Suite C, Oklahoma City, OK 73120-6329 | 2005-11-09 |
| 1679922462 | Jerrad Hada | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2016-06-13 |
| 1346698446 | Kyler King | Physical Medicine & Rehabilitation | 2201 Silver Lake Rd, Bartlesville, OK 74006-6233 | 2016-05-31 |
| 1124345665 | Southeastern Oklahoma Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 1705 N Washington Ave, Suite C, Durant, OK 74701-2100 | 2010-04-23 |
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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.