Venugopal Komakula (NPI# 1407115181, PAC ID# 9133435118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDEFINED PHYSICIAN TYPE (SPECIFY).
| Nation Provider ID (NPI) | 1407115181 |
| PAC ID by PECOS | 9133435118 |
| Professional Enrollment ID | I20160629000932 |
| Full Name | Venugopal Komakula |
| Organization Legal Name | PEACEHEALTH MEDICAL GROUP |
| Address |
3377 Riverbend Dr Springfield OR 97477-8800 |
| Phone Number | 5412226000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| Secondary Specialties | FAMILY MEDICINE, SLEEP MEDICINE |
| Group Practice PAC ID | 9032023270 |
| Number of Group Practice Members | 167 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380102 | SACRED HEART MEDICAL CENTER - RIVERBEND |
| Address | Phone | Organization |
|---|---|---|
| 3377 Riverbend Dr, Springfield, OR 97477-8800 | 5412226000 | PEACEHEALTH MEDICAL GROUP |
| Organization Legal Name | PEACEHEALTH MEDICAL GROUP |
| Physicians | 197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Wilson | Nurse Practitioner | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Sarah E Clark | Clinical Social Worker | Peacehealth Medical Group | 770 E 11 Ave, Eugene, OR 97401-3746 |
| Titus B Kosgei | Nurse Practitioner | Peacehealth Medical Group | 2484 River Rd, Eugene, OR 97404-2042 |
| Anna R Snyder | Certified Nurse Midwife | Peacehealth Medical Group | 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 |
| Raymond C Ray | Addiction Medicine | Peacehealth Medical Group | 1200 Hilyard St, Eugene, OR 97401-8122 |
| Mailynn A Mitchell-sanchez | Family Medicine | Peacehealth Medical Group | 860 Beltline Rd, Springfield, OR 97477-1091 |
| Cecilia N Jacobson | Registered Dietitian Or Nutrition Professional | Peacehealth Medical Group | 3377 Riverband Dr, Springfield, OR 97477-8800 |
| Alan Garcin | Nurse Practitioner | Peacehealth Medical Group | 3321 W 11th Ave, Eugene, OR 97402-3040 |
| James Wiley Dickerson Iii | Psychiatry | Peacehealth Medical Group | 1255 Hilyard St, Eugene, OR 97401-3718 |
| Julia N.e. Sunkomat | Internal Medicine | Peacehealth Medical Group | 3299 Hilyard St, Eugene, OR 97405-3721 |
| Street Address |
3377 RIVERBEND DR |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-8800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey M Wilson | Nurse Practitioner | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Michael A Harris | Psychologist, Clinical | University Professional Services | 3377 Riverbend Dr, Fl 4, Springfield, OR 97477-8803 |
| Kantee Karki | Internal Medicine | Peacehealth | 3377 Riverbend Dr, Springfield, OR 97477-8803 |
| Erin J Madriago | Pediatric Medicine | University Professional Services | 3377 Riverbend Dr, Fl 2, Springfield, OR 97477-8803 |
| Daniel Erichsen | Sleep Medicine | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Nancy M Austin | Nurse Practitioner | Peacehealth | 3377 Riverbend Dr, Springfield, OR 97477-8803 |
| Prajeesh Kandoth Karerat | Internal Medicine | Peacehealth | 3377 Riverbend Dr, Springfield, OR 97477-8803 |
| Jungeun Lee | Internal Medicine | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Slavita M Laies | Internal Medicine | Peacehealth | 3377 Riverbend Dr, Springfield, OR 97477-8803 |
| Verena C Samara | Neurology | Peacehealth Medical Group | 3377 Riverbend Dr, Springfield, OR 97477-8800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
| City + Specialty | SPRINGFIELD + UNDEFINED PHYSICIAN TYPE (SPECIFY) |
Please comment or provide details below to improve the information on Venugopal Komakula.
| 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.