Active NPI
A R Srikantiah, MD
- Ophthalmology Physician
- Cambridge, OH
National Provider Identifier
1114923646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35040065S
- Practice address
- 9884 Cadiz Rd
Cambridge, OH 43725-9633 - Phone
- (740) 432-7319
- Fax
- (740) 432-7310
- NPI assigned
- Jun 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35040065S | OH | Primary |
Addresses
Primary practice location
9884 Cadiz Rd
Cambridge, OH 43725-9633
Mailing address
9884 Cadiz Rd
Cambridge, OH 43725-9633
Phone (740) 432-7319
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316518 | Medicaid | OH | |
| 000000118077 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35040065S | OH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1114923646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9884 CADIZ RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259633",
"telephone_number": "740-432-7319",
"fax_number": "740-432-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9884 CADIZ RD",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259633",
"telephone_number": "740-432-7319",
"fax_number": "740-432-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRIKANTIAH",
"first_name": "A",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35040065S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0316518",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000118077",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
- Southeastern Ohio Regional Medical Center Inc
- Southern Ohio Emergency Physicians, LLP
- Tracey Sowers
- Christal Sparks
- Rhonda K Spicer, LISW-S
- Hannah St. Clair
- Desmond Stage
- State of Ohio Office of Budget and Management State Accounting
- State of Ohio Office of Budget and Management, State Accounting
- State of Ohio Office of Budget and Management, State Accounting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.