New Carlisle Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35073686D Issued in OH

Legal business name

NEW CARLISLE FAMILY PRACTICE LLC

Practice address

432 N Main St
New Carlisle, OH 45344-1427

Phone

(937) 846-4000

Fax

(937) 846-4004

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Ashok P Devatha, M.D.NPI 1497740328

Title

Physician

Phone

(937) 846-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 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.

• Ashok Panduranga Devatha, M.D.

  • Family Medicine Physician
  • New Carlisle, OH
  • NPI 1497740328
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1699891085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441427",
            "telephone_number": "937-846-4000",
            "fax_number": "937-846-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N MAIN ST",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441427",
            "telephone_number": "937-846-4000",
            "fax_number": "937-846-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CARLISLE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "DEVATHA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "937-846-4000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35073686D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlon L Moritz, DC
• Michael Carl Mueller, DDS
• Audrey Musselman, MDN, RDN, LD
• Meghna Srinivasan Narayanan, D.D.S.
• New Carlisle Family Dental - David M Raiffe DDS Mba Inc (New Carlisle Family Dental)
• Dana M Nichols, D.M.D.
• Ohio CVS Stores LLC (CVS Pharmacy 03457)
• Brenda L Olwin
• On Call Inc (On Call Home Care Of Ohio)
• Amanda Peter, RN

• Family Medicine Physician in New Carlisle, OH
• Providers in New Carlisle, 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 Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.