MR. ANANTHAN KRISHNATHAS (NPI# 1891786554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891786554 |
| Entity Type | Individual |
| Full Name | MR. ANANTHAN KRISHNATHAS |
| Credential | MD |
| Practice Address |
4605 Maccorkle Ave. Sw South Charleston WV 25309 |
| Practice Telephone | 3047663526 |
| Mailing Telephone | 3047663526 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 21702 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810000987 | 05 |
| Street Address |
4605 MACCORKLE AVE. SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1285277434 | Absolute Care Clinic of South Charleston | Internal Medicine | 428 Division St Ste 3b, South Charleston, WV 25309-1469 | 2019-10-21 |
| 1326091778 | William Jarrod Chapman | Internal Medicine | 118 Lively Rd, South Charleston, WV 25309-8582 | 2006-05-18 |
| 1386122844 | Hospitalist Medicine Physicians of West Virginia- Tcg, Pllc | Internal Medicine | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2018-08-06 |
| 1902137177 | Nancy Chandler | Internal Medicine | 509 2nd Ave, South Charleston, WV 25303-1310 | 2010-01-27 |
| 1992945745 | Frederick Paul Clayton | Internal Medicine | 4619 Kanawha Ave Sw, South Charleston, WV 25309 | 2009-03-05 |
| 1124274303 | John Ponugupati | Internal Medicine | 401 Division St, Suite 100, South Charleston, WV 25309-1455 | 2008-08-07 |
| 1649448911 | Neeharika Muddana | Internal Medicine | 24 Maccorkle Ave Sw, South Charleston, WV 25303-1476 | 2008-02-20 |
| 1114123403 | Salman Shaukat | Internal Medicine | 4605 Maccorkle Ave Sw, Thomas Memorial Hospital, South Charleston, WV 25309-1311 | 2007-06-22 |
| 1750582540 | David S Mullett | Internal Medicine | 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 | 2007-05-30 |
| 1265650592 | Elizabeth L. Brown, Md, Pllc | Internal Medicine | 4607 Maccorkle Ave Sw, Suite Mp200, South Charleston, WV 25309-1364 | 2007-04-23 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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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.