CHANAKYA KUMAR JANDHYALA (NPI# 1508151499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508151499 |
| Entity Type | Individual |
| Full Name | CHANAKYA KUMAR JANDHYALA |
| Credential | M.D. |
| Practice Address |
2 Trap Falls Rd Ste 404 Shelton CT 06484-7622 |
| Practice Telephone | 2037347900 |
| Practice Fax Number | 2035133269 |
| Mailing Telephone | 2037347900 |
| Mailing Fax Number | 2035133269 |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | BP10039661 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
60101 | CT | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
287826-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2 TRAP FALLS RD STE 404 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429619 | Ignatius Komninakas | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2005-06-30 |
| 1053919019 | Hanna Mary Gleason | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2020-10-13 |
| 1194372284 | Jason Martin Nobrega | Physician Assistant | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2019-08-22 |
| 1417315227 | Kellie Fitzgerald | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2016-02-08 |
| 1184948911 | Megan M Gleason | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2010-03-23 |
| 1114162633 | Valley Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 2 Trap Falls Rd Ste 404, Shelton, CT 06484 | 2008-12-12 |
| 1528148244 | Lorraine M Diaz | Physical Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-17 |
| 1083794796 | Valley Orthopaedic Specialists LLC | Orthopaedic Surgery | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-17 |
| 1154414282 | Sean Muldoon | Physician Assistant | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-10-02 |
| 1033126305 | Suzanne Spak | Occupational Therapist | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407942055 | Mark H Blechner | Orthopaedic Surgery | 2 Trap Falls Ste 404, Shelton, CT 06484-7622 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942629969 | Benjamin Geddes | Orthopaedic Surgery | 800 Howard Ave Rm Ypb 133, New Haven, CT 06519-1369 | 2014-04-08 |
| 1033224498 | New Milford Spine and Orthopedic Institute, PC | Orthopaedic Surgery | 9 East St, Litchfield, CT 06759-3601 | 2006-08-19 |
| 1619996410 | David Aaron Bomback | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810-6027 | 2006-07-19 |
| 1144781386 | Sct Care of Ct, LLC | Orthopaedic Surgery | 2389 Main St, Glastonbury, CT 06033-4617 | 2019-03-29 |
| 1457797276 | Raj Jitendra Gala | Orthopaedic Surgery | 39 Hospital Ave, Danbury, CT 06810 | 2013-05-20 |
| 1114219623 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 20 Commerce Park, Milford, CT 06460-3511 | 2011-05-03 |
| 1174784797 | Applegate Orthopedic Spine Center PC | Orthopaedic Surgery | 5 Pequot Park Rd, Suite 201a, Westbrook, CT 06498-2856 | 2008-06-17 |
| 1326225079 | William Donald Long IIi | Orthopaedic Surgery | 20 York Street, Yale-new Haven Hospital, New Haven, CT 06510 | 2008-01-24 |
| 1376742031 | Connecticut Spine and Disc | Orthopaedic Surgery | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2007-07-13 |
| 1154526705 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 339 Boston Post Rd, Orange, CT 06477-3560 | 2007-06-15 |
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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.