CHARLES ANDREW CHACKO (NPI# 1518301019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518301019 |
| Entity Type | Individual |
| Full Name | CHARLES ANDREW CHACKO |
| Credential | MD |
| Practice Address |
University of Kentucky 800 Rose Street Lexington KY 40536 |
| Mailing Address |
800 Rose St Ste Cc-402 Lexington KY 40536-0293 |
| Practice Telephone | 8593232636 |
| Mailing Telephone | 8593231786 |
| Mailing Fax Number | 8592577715 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 129436 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 4301102344 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
51219 | KY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9500 Euclid Ave, M2 Annex, Cleveland, OH 441950001 | 2164458383 | 2164448530 |
| Street Address |
UNIVERSITY OF KENTUCKY 800 ROSE STREET |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992766133 | Jonathan E Ricker | Pediatrics | University of Kentucky, 800 Rose St., Mn 150, Lexington, KY 40536-0001 | 2006-03-29 |
| 1205362274 | Steven Edds | Internal Medicine | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-05-11 |
| 1336673235 | Kevin Coy II | Internal Medicine | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-04-18 |
| 1689108078 | Tracy Harbut | Anesthesiology | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-04-12 |
| 1477086759 | Brandon Thomas Nelson | Internal Medicine | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-04-04 |
| 1548792435 | Sonya Prabhani Jayaratna | Psychiatry & Neurology | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-03-30 |
| 1376075192 | Jared Potter | Physical Medicine & Rehabilitation | University of Kentucky, Lexington, KY 40536 | 2017-03-30 |
| 1740712868 | Amanda Christine Gibson | Radiology | University of Kentucky, 800 Rose Street, Room Hx-315, Lexington, KY 40536 | 2017-03-29 |
| 1528590882 | Erika Gabrielle Almodovar | Surgery | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-03-28 |
| 1194256644 | Wesley Hatfield | Radiology | University of Kentucky, 800 Rose Street, Lexington, KY 40536 | 2017-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1154434645 | John L. Villano | Internal Medicine | Uk Medical Oncology, 800 Rose Street, Cc401 Roach Building, Lexington, KY 40536-0093 | 2006-08-17 |
| 1356311435 | Eugene Paschold | Internal Medicine | 1370 Piedmont Dr, Suite 202, Lexington, NC 27295-2052 | 2006-01-23 |
| 1639179484 | John J Gohmann | Internal Medicine | 1720 Nicholasville Rd, Suite 701, Lexington, KY 40503-1404 | 2005-07-22 |
| 1184622250 | Lowell Brian Anthony | Internal Medicine | Markey Cancer Ctr, 800 Rose Street, Whitney Hedrickson Bldg, Lexington, KY 40536-0001 | 2005-07-12 |
| 1679009575 | Garima Gupta | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-2725 | 2017-05-11 |
| 1912350042 | Snigdha Nutalapati | Internal Medicine | University of Kentucky 800 Rose Street, Lexington, KY 40536-1458 | 2016-07-13 |
| 1447614110 | Brenen Swofford | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-7001 | 2016-04-08 |
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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.