Ponnavolu D Reddy
FLORIDA JOINT AND SPINE INSTITUTE PA


Address: 1204 Carlton Ave, Lake Wales, FL 33853-4318
Phone: 8633852222

Ponnavolu D Reddy (NPI# 1154327781, PAC ID# 2163484817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1154327781
PAC ID by PECOS 2163484817
Professional Enrollment ID I20041103001152
Full Name Ponnavolu D Reddy
Organization Legal Name FLORIDA JOINT AND SPINE INSTITUTE PA
Address 1204 Carlton Ave
Lake Wales
FL 33853-4318
Phone Number 8633852222
Gender M
Credential MD
Graduation Year 1980
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 0547168114
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100099 LAKE WALES MEDICAL CENTER
100109 FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER

Other Locations

Address Phone Organization
1204 Carlton Ave, Lake Wales, FL 33853-4318 8633852222 FLORIDA JOINT AND SPINE INSTITUTE PA
6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226 8633852222 FLORIDA JOINT AND SPINE INSTITUTE PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 69%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 53%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 62%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_131_overall Pain Assessment and Follow-Up 79%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name FLORIDA JOINT AND SPINE INSTITUTE PA
Physicians 15

Physicians with the same organization

Name Specialty Organization Address
Mike L Nickless Certified Registered Nurse Anesthetist (crna) Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Veronica Trujillo Physician Assistant Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Ashok Sonni Orthopedic Surgery Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Katiuska Dos Santos Physical Medicine and Rehabilitation Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Juan C Alvarez Orthopedic Surgery Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Patricia Darlene Parker Nurse Practitioner Florida Joint and Spine Institute Pa 1204 Carlton Ave, Lake Wales, FL 33853-4318
Arusha Heyat Nurse Practitioner Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Karen Lynn Kelly-carr Nurse Practitioner Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Charles H Waltman Physician Assistant Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226
Maury L Fisher Orthopedic Surgery Florida Joint and Spine Institute Pa 6325 Us Hwy 27 N, Suite 201, Sebring, FL 33870-8226

Office Location

Street Address 1204 CARLTON AVE
City LAKE WALES
State FL
Zip 33853-4318

Physicians in the same location

Name Specialty Organization Address
Patricia Darlene Parker Nurse Practitioner Florida Joint and Spine Institute Pa 1204 Carlton Ave, Lake Wales, FL 33853-4318

Physicians in the same zip code

Name Specialty Organization Address
Georgianna W Sorensen Nurse Practitioner 237 E Park Ave, Lake Wales, FL 33853-3705
Boris D Nunez Cardiovascular Disease (cardiology) 320 Sr 60, Lake Wales, FL 33853-3750
Gilberto A Lozano Internal Medicine 320 State Rd 60, Suite 301, Lake Wales, FL 33853-3750
Dominiqua Lint Nurse Practitioner Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Beatrice Aime Celian General Practice Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Tiffany L Garner Nurse Practitioner Central Florida Health Care Inc 305 W Central Ave, Central Florida Health Care Lake Wa, Lake Wales, FL 33853-4015
Robert D Bazley Obstetrics/gynecology Florida Department of Health 835 W Central Ave, Lake Wales, FL 33853-4024
Leonilo V Trono Physical Therapy Core Rehabilitation Inc 61 W Central Ave, Lake Wales, FL 33853-4113
Kenneth Neigut Diagnostic Radiology Central Florida Cancer Institute Pa 22 State Rd 60, Lake Wales, FL 33853-4118
Bade Akintan Urology Central Florida Cancer Institute Pa 22 State Rd 60, Lake Wales, FL 33853-4118
Find all physicians in zip 33853

Competitor

Search similar physicians

City LAKE WALES
Zip Code 33853
Specialty ORTHOPEDIC SURGERY
City + Specialty LAKE WALES + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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