Vidya Venkat (NPI# 1104035476, PAC ID# 9638232978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104035476 |
| PAC ID by PECOS | 9638232978 |
| Professional Enrollment ID | I20100429000037 |
| Full Name | Vidya Venkat |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Address |
1901 Randolph Rd Charlotte NC 28207-1101 |
| Phone Number | 7043162000 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3971566761 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 131 Providence Rd, Charlotte, NC 28207-1235 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA | |
| 1901 Randolph Rd, Charlotte, NC 28207-1101 | 7043162000 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan James Hazelrigs | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Ann Thimsen Pflugrath | Anesthesiology | Providence Anesthesiology Associates Pa | 209 E Carver St, Durham, NC 27704-2133 |
| Adelle R Anthony Williams | Anesthesiology | Providence Anesthesiology Associates Pa | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 |
| Michael J Mcnelis | Anesthesiology | Providence Anesthesiology Associates Pa | 10030 Gilead Rd, Huntersville, NC 28078-7545 |
| Mark M Vogelhut | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Providence Rd, Charlotte, NC 28207-1437 |
| Bruce J Denenny | Anesthesiology | Providence Anesthesiology Associates Pa | 1720 Davie Ave, Statesville, NC 28677-3522 |
| Ted Vance | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Charlotte, NC 28207-1235 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Steven T Hobgood | Anesthesiology | Providence Anesthesiology Associates Pa | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
1901 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Steven Craig Frantz | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip Thomas De Rosa | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen M Ireland | Nurse Practitioner | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Loretta Ann Hart | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael J Riznyk | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Matthew Garretson | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael R Metcalf | Hospitalist | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Aimee B Kerchner | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Isaac P Stappas | Physician Assistant | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Michael H Long | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHARLOTTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Vidya Venkat.
| 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.