Sanjay Ghosh PHD MD PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

SANJAY GHOSH PHD MD PC

Doing business as

SANJAY GHOSH PHD MD PC

Practice address

1080 Caroline Dr
Ste 200
Washington, MO 63090-4902

Phone

(636) 390-2288

Fax

(636) 390-2277

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Sanjay Ghosh

Title

PHD MD PC

Phone

(636) 390-2288

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• SANJAY GHOSH PHD MD PC Doing business as

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1992868277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902",
            "telephone_number": "636-390-2288",
            "fax_number": "636-390-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY GHOSH PHD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PHD MD PC",
        "authorized_official_telephone_number": "636-390-2288"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2636376",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2636376",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506132208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANJAY GHOSH PHD MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirstin Jenna Russell, PMHNP
• Sarah Ann Russell, AGACNP-BC
• Tina Ryan, FNP
• Marie Bernice Sander, RN, ANP-BC
• Sanjay Ghosh PHD MD PC
• Cheryl Collier Savage, LCSW
• Garry R Scarato, MD
• Thomas Schallom
• Anna Schell, FNP-C
• Amber L Schmitt, PHARMD

• Rheumatology Physician in Washington, MO
• Providers in Washington, MO by specialty
• Rheumatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.