Ajay Venkat Chandra

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

347 Midway Blvd Ste 210
Elyria, OH 44035-2496

Phone

(440) 324-5555

Fax

(440) 324-5512

NPI assigned

Sep 3, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1265100150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 BRADLEY RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455015",
            "telephone_number": "614-937-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MIDWAY BLVD STE 210",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352496",
            "telephone_number": "440-324-5555",
            "fax_number": "440-324-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "AJAY",
        "middle_name": "VENKAT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities Services Corporation
• Danielle Cawthon
• Rajah Cervenak
• Aya Chaaban
• Prakash Chand, M.D.
• Jodi H Chapek, PA-C
• Chantay Ruth Chapman
• Ravi V Chari, M.D.
• Charles J. Zasso, DDS & Associates (Midway), Inc.
• Angela A Chavis, LPN

• Case Manager/Care Coordinator in Elyria, OH
• Providers in Elyria, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.