BRANDON J CHANDOS (NPI# 1508846676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508846676 |
| Entity Type | Individual |
| Full Name | BRANDON J CHANDOS |
| Credential | M.D. |
| Practice Address |
150 Mcmillen Dr Newark OH 43055-1811 |
| Practice Telephone | 2205647985 |
| Practice Fax Number | 2205647986 |
| Mailing Telephone | 2205647985 |
| Mailing Fax Number | 2205647986 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35121477 | OH | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2005-00558 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0086499 | 05 |
| Street Address |
150 MCMILLEN DR |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925070 | Pattye Whisman | Family Medicine | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2005-07-13 |
| 1518317973 | Garland Tang | Psychiatry & Neurology | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2016-06-16 |
| 1093757155 | Licking Memorial Professional Corporation | Family Medicine | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2006-06-12 |
| 1255330072 | Megan Miller | Family Medicine | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2005-07-14 |
| 1548268543 | Katrina Verde | Family Medicine | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994166 | Acclaim Neurodiagnostics Group | Psychiatry & Neurology | 537 Stanton Christiana Rd Ste 106, Newark, DE 19713-2145 | 2019-01-02 |
| 1639300676 | Delaware Neuroscience Specialists | Psychiatry & Neurology | 774 Christiana Rd Ste 201b, Newark, DE 19713-4221 | 2009-08-06 |
| 1841461019 | Deren Huang | Psychiatry & Neurology | 150 Mcmillon Drive, Newark, OH 43055 | 2008-03-17 |
| 1477754893 | Maria R Alvarez Prieto | Psychiatry & Neurology | 41 Wilson Ave, Suite 2d, Newark, NJ 07105 | 2007-05-31 |
| 1245257013 | Eugene A Tolomeo | Psychiatry & Neurology | 1312 Driving Park Ave, Newark, NY 14513-1059 | 2006-07-16 |
| 1932131265 | John Robert Pollard | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2006-07-07 |
| 1902858475 | Joseph Handler | Psychiatry & Neurology | 774 Christiana Rd Ste 201, Newark, DE 19713-4221 | 2006-05-16 |
| 1912907197 | Michael M Moussouttas | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2559 | 2005-07-28 |
| 1518317973 | Garland Tang | Psychiatry & Neurology | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2016-06-16 |
| 1356756142 | Sandeep Devarapalli | Psychiatry & Neurology | 200 Hygeia Dr, Newark, DE 19713-2049 | 2014-07-01 |
| Find all providers in NEWARK | ||||
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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.