Active NPI
George V Chandy,M.D., S.C.
- Specialist
- Milwaukee, WI
National Provider Identifier
1215045034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 20257
- Legal business name
- GEORGE V CHANDY,M.D., S.C.
- Practice address
- 635 N 35TH St
Milwaukee, WI 53208-3872 - Phone
- (414) 344-5040
- Fax
- (414) 344-7051
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chandy V George, M.D.
- Title
- President
- Phone
- (414) 344-5040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 20257 | WI | Primary |
Addresses
Primary practice location
635 N 35TH St
Milwaukee, WI 53208-3872
Mailing address
635 N 35TH St
Milwaukee, WI 53208-3872
Phone (414) 344-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30138300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Milwaukee, WI
- NPI 1710095526
-
- Neonatal-Perinatal Medicine Physician
- Milwaukee, WI
- NPI 1427166214
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1164856993
-
- Pediatrics Physician
- Temple, TX
- NPI 1770937799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215045034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532083872",
"telephone_number": "414-344-5040",
"fax_number": "414-344-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N 35TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532083872",
"telephone_number": "414-344-5040",
"fax_number": "414-344-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE V CHANDY,M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "CHANDY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-344-5040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WI",
"license": "20257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30138300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.