KANCHERLA RAO (NPI# 1154461572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154461572 |
| Entity Type | Individual |
| Full Name | KANCHERLA RAO |
| Credential | M.D. |
| Practice Address |
6140 S Broadway Lorain OH 44053-3821 |
| Mailing Address |
11124 Woodbury Lane Elyria OH 44035 |
| Practice Telephone | 4402044364 |
| Practice Fax Number | 4402339070 |
| Mailing Telephone | 4408771859 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
35046832 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0069823 | 05 |
| Street Address |
6140 S BROADWAY |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751796 | Manuel Enrique Gordillo Sr. | Specialist | 6140 S Broadway, Lorain, OH 44053-3891 | 2005-06-22 |
| 1447858964 | Raymone Letroy Wells Jr. | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-10-16 |
| 1932707734 | Rachel Elizabeth Porrello | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-10-14 |
| 1336756634 | Laura Lynn Weppler | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-30 |
| 1902412307 | Janelle Kinney | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-21 |
| 1699381004 | Melanie Anne Glavic | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-21 |
| 1619583101 | Momoko H Barton | Social Worker | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-20 |
| 1245845551 | Alexis Feronti | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-14 |
| 1659986537 | Glen Allan Morse | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-09 |
| 1346854569 | Kathryn Ann Carico | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376682104 | Lorraine Christian | Family Medicine | 6140 S Broadway, Lorain, OH 44053-3821 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520533 | Care Alliance | Family Medicine | 2439 E 55th St Fl 2, Cleveland, OH 44104-1501 | 2019-04-01 |
| 1912047994 | William P. Sawyer | Family Medicine | 11714 U.S. Route 42, Cincinnati, OH 45241 | 2007-02-07 |
| 1669543484 | Tracy Warren Schermer | Family Medicine | 1250 Vernonview Dr, Mount Vernon, OH 43050-1447 | 2006-11-13 |
| 1285103135 | Ohio North East Health Systems, Inc | Family Medicine | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-21 |
| 1427598572 | Alecto Wheeling Physicians, Inc. | Family Medicine | 106 Plaza Dr, Saint Clairsville, OH 43950-6700 | 2017-03-07 |
| 1083999098 | Daniel J. Fitzpatrick, D.o. | Family Medicine | 341 Youngstown Kingsville Rd Se, Vienna, OH 44473-9601 | 2011-10-21 |
| 1992975502 | Doctors Office of Dublin LLC | Family Medicine | 6905 Hospital Dr, Ste 200, Dublin, OH 43016-9600 | 2008-03-11 |
| 1821275611 | Renee Sartain D O LLC | Family Medicine | 6905 Perimeter Loop Rd, Ste 200, Dublin, OH 43016-9601 | 2008-01-24 |
| 1609935030 | Wood County Family Care Inc. | Family Medicine | 960 W Wooster St, Suite 202, Bowling Green, OH 43402-2644 | 2006-12-08 |
| 1033224951 | Barbara A Cromer | Family Medicine | 2500 Metrohealth Dr, Mhmc-pediatrics, Cleveland, OH 44109-1900 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
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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.