Chilton Shelby Sugery, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00018919 Issued in AL

Legal business name

CHILTON SHELBY SUGERY, LLC

Practice address

150 Health Center Dr
Clanton, AL 35045-2368

Phone

(205) 280-7700

Fax

(205) 280-7088

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Raghavachari Sunder Krishnan, MDNPI 1831129071

Title

MD

Phone

(205) 280-7700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2003/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Raghavachari Sunder Krishnan, M.D.

  • Surgery Physician
  • Clanton, AL
  • NPI 1831129071
  Medicare reassignment NPD Authorized official
• Carlos Adrian Egas, M.D.

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1417050626
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447466784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351245604",
            "telephone_number": "205-280-7700",
            "fax_number": "205-280-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HEALTH CENTER DR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350452368",
            "telephone_number": "205-280-7700",
            "fax_number": "205-280-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILTON SHELBY SUGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "RAGHAVACHARI",
        "authorized_official_middle_name": "SUNDER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "205-280-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "00018919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chilton Family Care, LLC
• Chilton Family Medicine, P.C.
• Chilton Family Medicine, P.C.
• Chilton Medical Group P C
• Chilton Pediatrics PC
• Chilton Surgical Associates
• Chilton Surgical Associates
• William G Chism
• City of Clanton
• Clanton Dental Group, LLC

• Surgery Physician in Clanton, AL
• Providers in Clanton, AL by specialty
• Surgery Physician in Alabama

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.