DR. JAIDEEP CHUNDURI (NPI# 1992795850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992795850 |
| Entity Type | Individual |
| Full Name | DR. JAIDEEP CHUNDURI |
| Credential | M.D. |
| Practice Address |
6480 Harrison Avenue Suite 201 Cincinnati OH 45247 |
| Mailing Address |
6480 Harrison Avenue Suite 100 Cincinnati OH 45247 |
| Practice Telephone | 5133543700 |
| Practice Fax Number | 5133547601 |
| Mailing Telephone | 5133543700 |
| Mailing Fax Number | 5133547601 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
35-08-2366 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000287763 | 01 |
| OH | RAILROAD MEDICARE | P00042913 | 01 |
| OH | 2412222 | 05 | |
| OH | AETNA | 3207090 | 01 |
| IN | 200197870 | 05 | |
| OH | HUMANA | 82366 | 01 |
| OH | WELLCARE | 409602 | 01 |
| Street Address |
6480 HARRISON AVENUE SUITE 201 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326477 | Tim M Elser | Physical Therapist | 6480 Harrison Avenue, Suite 202, Cincinnati, OH 45247 | 2006-10-31 |
| 1467461509 | Jon A Holzbacher | Physical Therapist | 6480 Harrison Avenue, Suite 202, Cincinnati, OH 45247 | 2006-08-07 |
| 1043228232 | Joel David Bella | Physical Therapist | 6480 Harrison Avenue, Suite 202, Cincinnati, OH 45247 | 2006-08-03 |
| 1841253515 | David John Demarco | Family Medicine | 6480 Harrison Avenue, Suite #302, Cincinnati, OH 45247 | 2006-04-11 |
| 1740271626 | Martin Louis Mctighe | Orthopaedic Surgery | 6480 Harrison Avenue, Suite 100, Cincinnati, OH 45247 | 2005-10-31 |
| 1528058104 | Sarah Maureen Snyder | Physician Assistant | 6480 Harrison Avenue, Suite 201, Cincinnati, OH 45241-6378 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942708227 | Spine Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-300, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1306344684 | Joint Replacement Cin of Cincinnati LLC | Orthopaedic Surgery | 9435 Waterstone Blvd Ste 140-301, Cincinnati, OH 45249-8226 | 2018-01-31 |
| 1386200533 | Laser Neck and Back Center LLC | Orthopaedic Surgery | 10475 Reading Rd Ste 115, Cincinnati, OH 45241-2500 | 2019-05-14 |
| 1548601461 | Bret Allen Ferree | Orthopaedic Surgery | 7575 Five Mile Road, Cincinnati, OH 45230-4327 | 2013-07-08 |
| 1578890927 | Center for Advanced Spine Technologies, Inc. | Orthopaedic Surgery | 4555 Lake Forest Dr, Suite 150, Cincinnati, OH 45242-3785 | 2009-11-05 |
| 1790992832 | Viral V Jain | Orthopaedic Surgery | 3333 Burnet Ave, Ml 2017, Cincinnati, OH 45229-3039 | 2007-05-17 |
| 1588697700 | Abubakar Atiq Durrani | Orthopaedic Surgery | 10475 Reading Rd, Ste 209, Cincinnati, OH 45241-2563 | 2006-07-09 |
| 1023048352 | Michael T Rohmiller | Orthopaedic Surgery | 500 E Business Way, Suite A, Cincinnati, OH 45241-2374 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053874651 | Soh Care of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 140-302, Columbus, OH 43215-5134 | 2019-04-10 |
| 1588162861 | Select Health of Oh, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-185, Columbus, OH 43215-5134 | 2018-01-31 |
| 1679071955 | Joint Replacement Cin of Columbus LLC | Orthopaedic Surgery | 175 S 3rd St Ste 200-193, Columbus, OH 43215-5134 | 2018-01-31 |
| 1952750226 | Michael D Eppig Md | Orthopaedic Surgery | 6550 N Ridge Rd Ste 201, Madison, OH 44057-3458 | 2016-06-08 |
| 1295710465 | Jeffrey S Tharp | Orthopaedic Surgery | 1320 Corporate Dr, Ste 100, Hudson, OH 44236-4442 | 2005-12-10 |
| 1255315685 | Daryl R Sybert | Orthopaedic Surgery | 5040 Forest Drive, Suite 300, New Albany, OH 43054 | 2005-11-30 |
| 1871599357 | David Propst | Orthopaedic Surgery | 2400 Miami Valley Dr, Ste 160, Centerville, OH 45459-4774 | 2005-06-21 |
| 1639172745 | Tri County Orthopedic Surgeons Incorporated | Orthopaedic Surgery | 3244 Bailey St Nw, Massillon, OH 44646-3616 | 2005-05-23 |
| 1558824151 | Soh Care of Oh IIi, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 140-302, Columbus, OH 43215-5134 | 2019-04-10 |
| 1093278681 | Soh Care of Oh II, LLC | Orthopaedic Surgery | 175 S 3rd St Ste 140-302, Columbus, OH 43215-5134 | 2019-04-10 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
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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.