Carillon Family Practice LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARILLON FAMILY PRACTICE LTD

Practice address

2501 S Dixie Dr
Kettering, OH 45409-1523

Phone

(937) 643-3083

Fax

(937) 643-3089

NPI assigned

Dec 29, 2005

Organization subpart

No

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

Authorized official

Name

Annette M Chavez, MDNPI 1871570846

Title

Owner/Physician

Phone

(937) 643-3083

Specialties & licenses 1

Addresses

Other identifiers 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.

• Annette M Chavez, MD

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1871570846
  NPD Authorized official

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1366429342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S DIXIE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091523",
            "telephone_number": "937-643-3083",
            "fax_number": "937-643-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S DIXIE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454091523",
            "telephone_number": "937-643-3083",
            "fax_number": "937-643-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON FAMILY PRACTICE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "937-643-3083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2328529",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Anthony Cannarozzi, P.T.
• Crystal M Capifali, COTA/L
• Amanda Carden
• Cardiology South
• Care Management Solutions LLC
• Zachary Carlisle, PA
• Carlos Moretta, DDS, Inc.
• Natalie Carolus
• Donna Maria Carothers
• William E Carrigg, PA-C

• Family Medicine Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.