Active NPI
Chandrani Ganpat Thakker VI, MD
- Pediatrics Physician
- Charleston, WV
National Provider Identifier
1598845141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12966
- Practice address
- 800 Pennsylvania Ave
Childrens Medicine Center
Charleston, WV 25302-3351 - Phone
- (304) 388-2525
- Fax
- (304) 388-2537
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12966 | WV | Primary |
Addresses
Primary practice location
800 Pennsylvania Ave
Childrens Medicine Center
Charleston, WV 25302-3351
Mailing address
800 Pennsylvania Ave
Childrens Medicine Center
Charleston, WV 25302-3351
Phone (304) 388-2525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112794000 | Medicaid | WV | |
| 12966 | Other | WV | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12966 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Area Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Belpre, OH
- NPI 1588422547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1598845141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE",
"address_2": "CHILDRENS MEDICINE CENTER",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "304-388-2525",
"fax_number": "304-388-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PENNSYLVANIA AVE",
"address_2": "CHILDRENS MEDICINE CENTER",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253023351",
"telephone_number": "304-388-2525",
"fax_number": "304-388-2537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKER",
"first_name": "CHANDRANI",
"middle_name": "GANPAT",
"name_suffix": "VI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "12966",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112794000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "12966",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.