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DR. MARTINA VENDRAME MD PHD NPI 1063659225

NPI Profile

NPI: 1063659225

Provider Name: DR. MARTINA VENDRAME, MD PHD

Classification: Internal Medicine - 207RS0012X

Entity Type: Individual

Specialization: Sleep Medicine

Organization: VIDALIA NEUROLOGY ASSOCIATES LLC

PECOS Registration: Yes

Address:
1707 MEADOWS LN
SUITE A
VIDALIA, GA
ZIP 30474

Phone: (912) 538-0003

DR. Martina Vendrame, MD PHD is a sleep medicine internist in Vidalia, GA with 15 years of experience. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. DR. Martina Vendrame, MD PHD NPI is 1063659225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1707 MEADOWS LN
SUITE A
VIDALIA, GA
ZIP 30474-200
Phone: (912) 538-0003
Fax: (912) 538-7444

The NPI 1063659225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System PECOS.

The enumeration date for this NPI number is 1/9/2009 and was last updated on 3/12/2015.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RS0012X Internal Medicine Sleep Medicine 36129378 ILLINOIS No
2 204D00000X Neuromusculoskeletal Medicine & OMM 36129378 ILLINOIS No
3 207RS0012X Internal Medicine Sleep Medicine 070921 GEORGIA Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015