Chimahosky Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHIMAHOSKY INTERNAL MEDICINE PC

Practice address

1720 W Market St
Pottsville, PA 17901-2141

Phone

(570) 622-1910

Fax

(570) 622-5030

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Jeffrey Chimahosky, DONPI 1891723953

Title

Owner

Phone

(570) 622-1910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jeffrey Chimahosky, D.O.

  • Internal Medicine Physician
  • Pottsville, PA
  • NPI 1891723953
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1326365800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012141",
            "telephone_number": "570-622-1910",
            "fax_number": "570-622-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W MARKET ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012141",
            "telephone_number": "570-622-1910",
            "fax_number": "570-622-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMAHOSKY INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "CHIMAHOSKY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-622-1910",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cianna Elizabeth Celiano, DPT
• Center for Community Resources, Inc.
• Nicole A Chapman, MA
• Rachel Charkaway, CRNP
• John B Chawluk, M.D.
• Jeffrey Chimahosky, D.O.
• Joseph Dominic Chipriano Jr., DMD
• Chandra L Chitswara
• Erwin Jinho Choi, D.O.
• Choudhry B.M. and Associates, LLC

• Internal Medicine Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.