DR. CHALLA AJIT (NPI# 1598778805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598778805 |
| Entity Type | Individual |
| Full Name | DR. CHALLA AJIT |
| Other Name | AJIT CHALLA |
| Credential | MD |
| Practice Address |
2355 Derr Rd Springfield OH 45503-2433 |
| Practice Telephone | 9376290100 |
| Practice Fax Number | 9376293285 |
| Mailing Telephone | 9376290100 |
| Mailing Fax Number | 9376293285 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35.082392 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2388269 | 05 | |
| OH | UPIN | H80400 | 01 |
| Street Address |
2355 DERR RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888907 | Heidi Michelle Thompson | Nurse Practitioner | 2355 Derr Rd, Springfield, OH 45503-2439 | 2018-01-09 |
| 1720465818 | Midwest Blood and Cancer Specialists, LLC | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2439 | 2015-04-28 |
| 1902238801 | Heather Nicole Holfinger | Nurse Practitioner | 2355 Derr Rd, Springfield, OH 45503-2439 | 2013-08-01 |
| 1063769826 | Jessica Lynne Quesenberry | Registered Nurse | 2355 Derr Rd, Springfield, OH 45503-2439 | 2012-08-12 |
| 1568765048 | Mid West Anesthesia LLC | Anesthesiology | 2355 Derr Rd, Springfield, OH 45503-2439 | 2010-12-06 |
| 1740424944 | Gastro Care, LLC | Clinic/Center | 2355 Derr Rd, Springfield, OH 45503-2433 | 2009-05-01 |
| 1629142815 | Challa Ajit, M.d. LLC | Internal Medicine | 2355 Derr Rd, Springfield, OH 45503-2433 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
| 1265668263 | Davis L Sim | Internal Medicine | 3355 Riverbend Dr 500, Springfield, OR 97477 | 2009-06-04 |
| 1558549428 | Cheng Zhang | Internal Medicine | 30 W Mccreight Ave Ste 211, Springfield, OH 45504-1853 | 2008-02-04 |
| 1114072444 | John N Green | Internal Medicine | 90 Us Highway 22 W, Springfield, NJ 07081-3110 | 2007-01-25 |
| 1801944632 | Srinivas Channapragada | Internal Medicine | 43 Green Hill Rd, Springfield, NJ 07081-3615 | 2007-01-08 |
| 1215975339 | Gregory Lloyd Lyford | Internal Medicine | 1001 East Primrose St, Springfield, MO 65807 | 2006-06-02 |
| 1467430959 | Harry H Park | Internal Medicine | 1007 Harlow Rd, Ste 210, Springfield, OR 97477-7124 | 2006-01-04 |
| 1932198942 | Marvin Abraham Lipsky | Internal Medicine | 25 Morris Ave, Springfield, NJ 07081-1404 | 2005-10-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
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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.