Krishna D Konakondla (NPI# 1457761223, PAC ID# 8820345820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1457761223 |
| PAC ID by PECOS | 8820345820 |
| Professional Enrollment ID | I20180723001308 |
| Full Name | Krishna D Konakondla |
| Organization Legal Name | PERFORMANCE SPINE AND SPORTS MEDICINE OF BORDENTOWN LLC |
| Address |
9500 K Johnson Blvd Suite 1 Bordentown NJ 08505-2251 |
| Phone Number | 6095888600 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | SPORTS MEDICINE |
| Group Practice PAC ID | 1658502257 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390258 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9500 K Johnson Blvd, Suite 1, Bordentown, NJ 08505-2251 | 6095888600 | PERFORMANCE SPINE AND SPORTS MEDICINE OF BORDENTOWN LLC |
| 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 6095888600 | PERFORMANCE SPINE AND SPORTS MEDICINE |
| 828 Newtown Yardley Rd, Suite A, Newtown, PA 18940-1785 | 2155042223 | PERFORMANCE SPINE AND SPORTS MEDICINE OF NEWTOWN LLC |
| Organization Legal Name | PERFORMANCE SPINE AND SPORTS MEDICINE OF BORDENTOWN LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthias Heinz Wiederholz | Physical Medicine and Rehabilitation | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Suite 1, Bordentown, NJ 08505-2251 |
| Bryan Yam | Physical Therapy | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Bordentown, NJ 08505-2251 |
| Tyressa L Savage | Chiropractic | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Bordentown, NJ 08505-2251 |
| Street Address |
9500 K JOHNSON BLVD SUITE 1 |
| City | BORDENTOWN |
| State | NJ |
| Zip | 08505-2251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Tooher | Physical Therapy | Jag-one Physical Therapy LLC | 9500 K Johnson Blvd, Bldg F, Bordentown, NJ 08505-2264 |
| Matthias Heinz Wiederholz | Physical Medicine and Rehabilitation | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Suite 1, Bordentown, NJ 08505-2251 |
| Thomas G Gardner | Physical Therapy | Jag-one Physical Therapy LLC | 9500 K Johnson Blvd, Bldg F, Bordentown, NJ 08505-2264 |
| Bryan Yam | Physical Therapy | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Bordentown, NJ 08505-2251 |
| Tyressa L Savage | Chiropractic | Performance Spine and Sports Medicine of Bordentown LLC | 9500 K Johnson Blvd, Bordentown, NJ 08505-2251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moishe Starkman | Family Practice | Bordentown Family Practice Pa | 163 Rte 130, Bordentown, NJ 08505 |
| Natalie Redziniak | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Danielle Carcia | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Janey B Hughes | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Rashmi Srikanth | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Omolabake Bankole | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Anne Marie Schulte | Clinical Social Worker | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Renee B Hickman | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Maria Lugo | Family Medicine | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Stephanie E Shapiro | Nurse Practitioner | Capital Health Medical Group | 1 3rd St, Bordentown, NJ 08505-1321 |
| Find all physicians in zip 08505 | |||
| City | BORDENTOWN |
| Zip Code | 08505 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | BORDENTOWN + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Krishna D Konakondla.
| 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.