DR. CHAITRA CHANNAPPA (NPI# 1457508079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457508079 |
| Entity Type | Individual |
| Full Name | DR. CHAITRA CHANNAPPA |
| Credential | MBBS |
| Practice Address |
31 Home Depot Dr Ste 283 Plymouth MA 02360-2669 |
| Practice Telephone | 7743432432 |
| Mailing Telephone | 7743432432 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2013-00450 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R-8277 | IA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
271152 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA MEDICAL LICENSE BOARD | 271152 | 01 |
| NC | LICENSE | 2013-00450 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 40 Pinehills Dr Apt 1241, Plymouth, MA 023607824 | (319) 400-6636 | |
| 31 Home Depot Dr Ste 283, Plymouth, MA 023602669 | 7743432432 |
| Street Address |
31 HOME DEPOT DR STE 283 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609385541 | Housecall Physicians LLC | Assisted Living Facility | 31 Home Depot Dr Ste 283, Plymouth, MA 02360-2669 | 2017-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851465371 | Gary A. Wozniak | Family Medicine | Henry Ford Health System, 14300 Beck Road, Plymouth, MI 48170 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316081003 | John F Donaldson | Family Medicine | 14 Roundwood Rd, Natick, MA 01760-2131 | 2007-02-16 |
| 1811053440 | Jerome Lewis Avorn | Family Medicine | Brigham and Women's Hospital Division of Pharmaco, 1620 Tremont Street, Boston, MA 02120 | 2006-12-28 |
| 1386685188 | Curtis Mock | Family Medicine | 23 Kelton St, Rehoboth, MA 02769-2530 | 2006-06-10 |
| 1932147444 | Stephanie L Groll | Family Medicine | 274 Spring St, Marshfield, MA 02050-5828 | 2006-06-04 |
| 1922057017 | Murali Ramadurai | Family Medicine | 83 Littlefield Rd, Newton, MA 02459-3010 | 2006-05-08 |
| 1669446597 | Bruce Steven Finke | Family Medicine | 45 Vernon St, Northampton, MA 01060-2845 | 2006-02-15 |
| 1427022672 | Fahim A Kazi | Family Medicine | 98 Shaker Rd, East Longmeadow, MA 01028 | 2006-02-15 |
| 1831160860 | Daphne Eleanor Schneider | Family Medicine | 236 Highland Ave, 2nd Floor, Somerville, MA 02143-1495 | 2006-01-28 |
| 1396723110 | David Wahl | Family Medicine | 62 Market St, Lynn, MA 01902 | 2006-01-03 |
| 1417943382 | Richard Peter Brunswick | Family Medicine | 43 Center St, Suite 302, Northampton, MA 01060-3063 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.