C G Reddy MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35041941 Issued in OH

Legal business name

C G REDDY MD INC

Practice address

1973 East Main Street
Lancaster, OH 43130-9353

Phone

(740) 653-9476

Fax

(740) 653-9478

NPI assigned

Jan 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Guru Reddy, MD

Title

Ceo

Phone

(740) 653-9476

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pramoda Fatehchand, PA C

  • Physician Assistant
  • Logan, OH
  • NPI 1720389513
  NPD (past)
• Max Mahfuzul Haque, M.D.

  • Psychiatry Physician
  • Logan, OH
  • NPI 1700884111
  NPD (past)
• Anil H. Jhangiani, M.D.

  • Cardiovascular Disease Physician
  • Springboro, OH
  • NPI 1114922515
  NPD (past)
• Kirk A Powers, P.A.

  • Physician Assistant
  • Westerville, OH
  • NPI 1730492570
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1063490803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 EAST MAIN STREET",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309353",
            "telephone_number": "740-653-9476",
            "fax_number": "740-653-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 EAST MAIN STREET",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309353",
            "telephone_number": "740-653-9476",
            "fax_number": "740-653-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C G REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "GURU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-653-9476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35041941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0420477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph N Bush
• Sheena A Bush
• Stephanie Ellen Bush, LPN
• Rose Bussey, PA-C, ATC
• Chelsea Buttle
• Jason Cafarelli, MD
• River Calhoun
• Mackenzie Call, LSW
• Susan Willson Call, MED, CCC-SLP
• Trevor Roberts Call, DO

• Medical Specialty Clinic/Center in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.