Chilcott MD Inc

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CHILCOTT MD INC

Doing business as

Changing Health

Practice address

2800 Cleveland Ave Ste B
Santa Rosa, CA 95403-2784

Phone

(707) 548-6825

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By 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

Dr. Marisha Chilcott, MDNPI 1174600985

Title

President

Phone

(707) 548-6825

Specialties & licenses 1

Addresses

Other names 1

• Changing Health 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.

• Marisha E. Chilcott, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1174600985
  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1679237796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KJELL CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054519",
            "telephone_number": "707-548-6825",
            "fax_number": "888-995-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CLEVELAND AVE STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032784",
            "telephone_number": "707-548-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILCOTT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "CHILCOTT",
        "authorized_official_first_name": "MARISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-548-6825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chico Feminist Women's Health Center (Women's Health Specialists)
• Elisabeth Chicoine
• Deborah Lynn Chiddix, PSY.D.
• Elena Chieffo
• Deborah Ann Chigazola, RDHAP, MS
• Forrest Scott Chilcott Jr., MD
• Marisha E. Chilcott, M.D.
• Ullrike Johanna Childs
• Jerome Hsi-Cheng Chin, M.D. PH.D.
• Warren Bruce Chin, MD

• Infusion Therapy Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Infusion Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.