Chaitanya K Kotagiri
PHYSICIAN GROUPS LC


Address: 2630 Hwy K, O Fallon, MO 63368-6624
Phone: 6362405454

Chaitanya K Kotagiri (NPI# 1588825228, PAC ID# 2567633498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1588825228
PAC ID by PECOS 2567633498
Professional Enrollment ID I20110926000126
Full Name Chaitanya K Kotagiri
Organization Legal Name PHYSICIAN GROUPS LC
Address 2630 Hwy K
O Fallon
MO 63368-6624
Phone Number 6362405454
Gender M
Graduation Year 2003
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 3072421254
Number of Group Practice Members 348
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
260163 PARKLAND HEALTH CENTER

Other Locations

Address Phone Organization
1101 W Liberty St, Farmington, MO 63640-1921 5737608396 PHYSICIAN GROUPS LC
2630 Hwy K, O Fallon, MO 63368-6624 6362405454 PHYSICIAN GROUPS LC

Organization Information

Organization Legal Name PHYSICIAN GROUPS LC
Physicians 360

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Name Specialty Organization Address
John David Edward Cooper Obstetrics/gynecology Physician Groups Lc 1103 W Liberty St, Farmington, MO 63640-1986
Kwabena Owusu Dekyi Family Medicine Physician Groups Lc 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120
Amy Elizabeth Roberts Family Medicine Physician Groups Lc 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005
Jane Isabelle Foreman Nurse Practitioner Physician Groups Lc 605 C Douglas Dr, Ashland, MO 65010-9088
Shahed N Badiyan Radiation Oncology Physician Groups Lc 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645
Carlos A Rubio-reyes Family Medicine Physician Groups Lc 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796
Mindy Lou Doscher Nurse Practitioner Physician Groups Lc 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469
Sarah Z Martin Nurse Practitioner Physician Groups Lc 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369
Mary Hoang Family Medicine Physician Groups Lc 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665
Melinda C Hart Nurse Practitioner Physician Groups Lc 108 Market St, Glasgow, MO 65254-1053

Office Location

Street Address 2630 HWY K
City O FALLON
State MO
Zip 63368-6624

Physicians in the same location

Name Specialty Organization Address
Ximena S Schnurr Family Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Howard D Kohn Internal Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Betty Rachel Varghese Family Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Robert Baipath Rilpuou Endocrinology Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Gayla Estelle Jackson Internal Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Kelli M Cash Nurse Practitioner Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Maria Bernabe Pediatric Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Michele M Thomas Family Medicine Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Maureen A Borrego Physician Assistant Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
Kathleen A. Kinnaman Nurse Practitioner Physician Groups Lc 2630 Hwy K, O Fallon, MO 63368-6624
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Physicians in the same zip code

Name Specialty Organization Address
Austin F Clark Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Jeffrey S Swank Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Benjamin L Schaub Physical Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Donald T Thorsen Occupational Therapy Prorehab PC 951 Waterbury Falls Dr, O Fallon, MO 63368-2202
Theodore S Rummel Orthopedic Surgery Piper Spine Care, PC 2 Progress Point Pkwy, O Fallon, MO 63368-2205
Michelle L Maloney Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207
Brian Grus Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Gloria Michelle P Edacheril Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Bridget Doerr Nurse Practitioner Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Genevieve Catherine Matthews Internal Medicine Physician Groups Lc 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207
Find all physicians in zip 63368

Competitor

Search similar physicians

City O FALLON
Zip Code 63368
Specialty FAMILY MEDICINE
City + Specialty O FALLON + FAMILY MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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