Viswanatha Reddy Yaratha, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

NM83-345 Issued in NM

Legal business name

VISWANATHA REDDY YARATHA, MD

Practice address

5419 N Lovington Hwy
Suite 2
Hobbs, NM 88240-9131

Phone

(575) 392-1503

Fax

(575) 392-5698

NPI assigned

Jul 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Viswanatha Reddy Yaratha, MD

Title

Owner

Phone

(575) 392-1503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lea County Children's Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1942465729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "address_2": "SUITE 2",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409131",
            "telephone_number": "575-392-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY",
            "address_2": "SUITE 2",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409131",
            "telephone_number": "575-392-1503",
            "fax_number": "575-392-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISWANATHA REDDY YARATHA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "YARATHA",
        "authorized_official_first_name": "VISWANATHA",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-392-1503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "NM83-345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24778",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea County Children's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra R Velasco, COTA
• Patrick R Vigil
• Danielle Joy Villanueva, COTA/L
• Isabel Villanueva, LADAC
• Patricia Villanueva
• Danielle Vrska
• Jeannene Rochelle Wagner, CNP
• Brandy Waits
• Lyric Wakeland
• Wal-Mart Stores East LP

• Pediatrics Physician in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.