Chaitanya K Chandrala (NPI# 1417264979, PAC ID# 4880962463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1417264979 |
| PAC ID by PECOS | 4880962463 |
| Professional Enrollment ID | I20170623000277 |
| Full Name | Chaitanya K Chandrala |
| Organization Legal Name | SAMARITAN MEDICAL PRACTICE PC |
| Address |
826 Washington St Suite 204 Watertown NY 13601-4072 |
| Phone Number | 3157881751 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 5698853133 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330157 | SAMARITAN MEDICAL CENTER |
| 331318 | CARTHAGE AREA HOSPITAL, INC |
| 331317 | LEWIS COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19320 Us Route 11, Watertown, NY 13601-5337 | 3157860254 | SAMARITAN MEDICAL PRACTICE PC |
| 22567 Summit Dr, Watertown, NY 13601-7210 | 3157882805 | SAMARITAN MEDICAL PRACTICE PC |
| 826 Washington St, Suite 204, Watertown, NY 13601-4072 | 3157881751 | SAMARITAN MEDICAL PRACTICE PC |
| Organization Legal Name | SAMARITAN MEDICAL PRACTICE PC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Weir | Otolaryngology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Joann Hill | Certified Nurse Midwife (cnm) | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| John Patrick Barrett | Obstetrics/gynecology | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| Leo J Gosselin Jr. | General Surgery | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Agnieszka Dombrowska | General Surgery | Samaritan Medical Practice PC | 1575 Washington St, Watertown, NY 13601-9371 |
| Jonathan Oliva | Obstetrics/gynecology | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| Tasha L Richards | Physician Assistant | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| Melissa A Charlebois | Physician Assistant | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Robert O Kimball | General Surgery | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| Scott Mollison | Orthopedic Surgery | Samaritan Medical Practice PC | 22567 Summit Dr, Watertown, NY 13601-7210 |
| Street Address |
826 WASHINGTON ST SUITE 204 |
| City | WATERTOWN |
| State | NY |
| Zip | 13601-4072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Weir | Otolaryngology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Leo J Gosselin Jr. | General Surgery | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Melissa A Charlebois | Physician Assistant | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Richard Abriss | Otolaryngology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Sara Lynnea Cederstrand | Vascular Surgery | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Thomas Zajac | Physician Assistant | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| David Reindl | Gastroenterology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| James T Riley | Vascular Surgery | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Tony Chuang | Otolaryngology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Albert A Mcclain | Otolaryngology | Samaritan Medical Practice PC | 826 Washington St, Suite 204, Watertown, NY 13601-4072 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett R Bunker | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maria N Alicea | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christina M Oneil | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Christopher Wilson | Nurse Practitioner | Samaritan Medical Center | 830 Washington St, Pm and R, Watertown, NY 13601-0000 |
| Catherine Vreatt | Clinical Social Worker | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Zachary Nahmias | Dermatology | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Makenzie Rae Griffin | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Bonnie L Servage | Nurse Practitioner | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Erica Feola | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Maryellen I Blevins | Physician Assistant | Samaritan Medical Center | 1575 Washington St, Watertown, NY 13601-0000 |
| Find all physicians in zip 13601 | |||
| City | WATERTOWN |
| Zip Code | 13601 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WATERTOWN + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Chaitanya K Chandrala.
| 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.