Chalasani MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHALASANI MD INC.

Doing business as

St. Marys Family Practice

Practice address

1300 Greenville Rd.
St. Marys, OH 45885

Phone

(419) 394-4813

Fax

(419) 394-1546

NPI assigned

Aug 9, 2006

Last updated

Jan 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Padmaja Chalasani, MD

Title

MD/Owner

Phone

(419) 394-4813

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Marys Family Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venkata K Chalasani, M.D.

  • Internal Medicine Physician
  • Wapakoneta, OH
  • NPI 1164525952
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1487664306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "address_2": "1300 GREENVILLE RD.",
            "city": "ST. MARYS",
            "state": "OH",
            "postal_code": "45885",
            "telephone_number": "419-394-4813",
            "fax_number": "419-394-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GREENVILLE RD.",
            "city": "ST. MARYS",
            "state": "OH",
            "postal_code": "45885",
            "telephone_number": "419-394-4813",
            "fax_number": "419-394-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALASANI MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "419-394-4813",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20049876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Lance Bryant, DO
• Makayla Renee Buehler, ATS
• Capabilities, Inc.
• Capabilities, Inc.
• Heather A Cavalier, PT
• Padmaja Chalasani, M.D.
• Jeffrey S. Chivington, D.C.
• Kyle Christman, PHARMD
• City of St Marys
• Whitney Nicole Clark, CNM

• Family Medicine Physician in Saint Marys, OH
• Providers in Saint Marys, 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 Jan 6, 2017; 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.