Eugene Chlosta, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

35-080237 Issued in OH

Practice address

400 Wabash Ave
Akron, OH 44307-2433

Phone

(330) 384-6000

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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• Seton Imaging Radiology PLLC

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• Sisters Diagnostic Imaging Associates

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  • NPI 1295833440

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1922017219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931286",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931494",
            "telephone_number": "888-719-9012",
            "fax_number": "330-493-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-384-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLOSTA",
        "first_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-080237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "300138897",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2400762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Sam Chindavong, DO
• Cristian Chirla, DMD
• Chiropractic Rehab Center, Inc.
• Tashi Chisholm
• Madison Gabrielle Chizmar
• Ola Chmilak, M.A. CCC/SLP
• Jennifer Ann Choate, O.D.
• Karen Choate, CRNA
• Leah Rose Choban, MD
• Daniel Choi

• All providers in Akron, OH
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.