SHANTI P REDDY (NPI# 1982944823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982944823 |
| Entity Type | Individual |
| Full Name | SHANTI P REDDY |
| Credential | PA |
| Practice Address |
3400 Olentangy River Rd Columbus OH 43202-1523 |
| Practice Telephone | 6147545500 |
| Practice Fax Number | 6144579519 |
| Mailing Telephone | 6147545500 |
| Mailing Fax Number | 6144579519 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2015-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.003755 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0081670 | 05 | |
| OH | MEDICARE PTAN | H179260 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073544268 | Shanti B Reddy | Specialist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2006-07-05 |
| Street Address |
3400 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43202-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091594 | Michael Dale Brogan | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2005-08-29 |
| 1902419930 | Antoniya Borislavova Robinson | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-08-28 |
| 1831721257 | Stephanie Joy Melton | Nurse Practitioner | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2020-02-05 |
| 1104392281 | Iryna V Miller | Neurological Surgery | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2018-10-16 |
| 1265943880 | Tyler Nathan Weaver | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2017-10-23 |
| 1902275787 | Shannon A Grime | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2015-09-22 |
| 1003220187 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-06-17 |
| 1265859243 | Patrick Chen | Internal Medicine | 3400 Olentangy River Rd, Columbus, OH 43202-1523 | 2014-03-27 |
| 1760808596 | Amanda Rae Gayetsky | Physician Assistant | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2014-03-18 |
| 1417397704 | Kori Nicole Devoll | Registered Nurse | 3400 Olentangy River Rd, Columbus, OH 43202-1576 | 2013-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391730 | Dominic Clouse | Pharmacist | Jameson Crane Sports Medicine Institute Pharmacy, 2835 Fred Taylor Drive, Columbus, OH 43202 | 2020-06-24 |
| 1609353218 | Attache Home Care, LLC | Home Health | 10 E. Weber Rd., Suite 202, Columbus, OH 43202 | 2018-07-26 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1578954764 | Andrew Burrows | Home Health Aide | 2564 Deming Ave, Columbus, OH 43202 | 2015-02-10 |
| 1245525559 | Kathryn Anne Richardson | Specialist/Technologist | 3430 Ohiohealth Parkway, Columbus, OH 43202 | 2011-06-15 |
| 1760777395 | Erin Vance | Pharmacist | 3430 Ohiohealth Pkwy, Columbus, OH 43202 | 2011-06-11 |
| 1588974083 | Cdi Long Term Care LLC | Pharmacy | 11 W Duncan St., Columbus, OH 43202 | 2010-10-18 |
| 1679880082 | Betty Jean Howard | Counselor | 42 Tompkins Avenue, Columbus, OH 43202 | 2010-09-07 |
| 1265657134 | Christina T. Liscynesky | Internal Medicine | 700 Ackerman Road, Suite 385, Columbus, OH 43202 | 2007-04-16 |
| 1275647364 | Lynne V. Abruzzo | Pathology | 680 Ackerman Rd, Room D423, Columbus, OH 43202 | 2006-08-18 |
| Find all providers in zip 43202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
| 1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
| 1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
| 1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
| 1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
| 1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
| 1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
| 1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
| 1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
| 1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on SHANTI P REDDY.
| 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.