DR. VENKATA R DEVINENI (NPI# 1972511590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972511590 |
Entity Type | Individual |
Full Name | DR. VENKATA R DEVINENI |
Credential | MD |
Practice Address |
12303 De Paul Dr Dept. of Radiation Oncology Bridgeton MO 63044-2512 |
Mailing Address |
2260 Barnbridge Rd Saint Louis MO 63131-3130 |
Practice Telephone | 3143446090 |
Practice Fax Number | 3143446093 |
Mailing Telephone | 3143446090 |
Enumeration Date | 2006-08-03 |
Last Update Date | 2011-09-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
R9245 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 206831711 | 05 |
Street Address |
12303 DE PAUL DR DEPT. OF RADIATION ONCOLOGY |
City | BRIDGETON |
State | MO |
Zip Code | 63044-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578559183 | M Kyle Sila | Anesthesiology | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2005-09-20 |
1528674371 | Victoria Wannemuehler | Dietitian, Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-09-17 |
1598389389 | Kayla Christine Deblauw | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-08 |
1659995876 | Rekha Narayanan Kouri | Podiatrist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-06-03 |
1255965422 | Kayla Michele Richter | Physician Assistant | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-26 |
1932731296 | Danielle Moses | Pharmacist | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-02-05 |
1689205304 | Alexandra Wege | Nurse Practitioner | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-31 |
1063052918 | Timothy J Guernsey | Nurse Anesthetist, Certified Registered | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2020-01-08 |
1982241923 | Catherine Nagus | Social Worker | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-12-10 |
1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376552323 | Vrd Radiation Oncology, PC | Radiology | 12303 De Paul Dr, Dept. of Radiation Oncology, Bridgeton, MO 63044-2512 | 2006-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
1568721454 | Jason Matthew Edwards | Radiology | 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 | 2012-05-11 |
1649569385 | Sagar Chandravadan Patel | Radiology | 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703-5049 | 2011-04-04 |
1922326958 | Yvonne Thanh-nga D Pham | Radiology | 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 | 2010-05-14 |
1811158587 | Benjamin Bin Yan | Radiology | 1111 Kentucky Ave., Omc Cancer Treatment Center, West Plains, MO 65775-2028 | 2008-06-24 |
1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
1205033941 | Associates In Tumor Therapy, Chartered | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
1700916848 | Bethesda Resources Inc | Radiology | 1124 N Main St, Sikeston, MO 63801-5046 | 2007-03-07 |
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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.