Organization Active NPI

KC Krishnamurthi MD Inc

  • Specialist
  • Ashland, OH
National Provider Identifier
1982919338
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35033441 Issued in OH
Legal business name
KC KRISHNAMURTHI MD INC
Practice address
1941 Baney Rd S
Ashland, OH 44805-4502
Phone
(419) 289-3355
Fax
(419) 281-6444
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Krishnaswamy Chenroyan Krishnamurthi, MD
Title
President
Phone
(419) 289-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35033441 OH Primary

Addresses

Primary practice location

1941 Baney Rd S
Ashland, OH 44805-4502

Mailing address

1941 Baney Rd S
Ashland, OH 44805-4502
Phone (419) 289-3355

Other identifiers 1

IdentifierTypeStateIssuer
0169071MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1982919338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 BANEY RD S",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054502",
            "telephone_number": "419-289-3355",
            "fax_number": "419-281-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BANEY RD S",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054502",
            "telephone_number": "419-289-3355",
            "fax_number": "419-281-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC KRISHNAMURTHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "KRISHNAMURTHI",
        "authorized_official_first_name": "KRISHNASWAMY",
        "authorized_official_middle_name": "CHENROYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-289-3355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35033441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.