MONTRIE CHAKSUPA MD NPI 1316999386

NPI Information

NPI: 1316999386
Provider Name: MONTRIE CHAKSUPA, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631
Phone: (740) 446-5381
Get Directions

Montrie Chaksupa, MD is an obstetrics gynecology in Gallipolis, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Montrie Chaksupa, MD NPI is 1316999386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

90 JACKSON PIKE
GALLIPOLIS, OH
ZIP 45631-560
Phone: (740) 446-5381
Fax: (740) 446-5082

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		35-10-0192	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000007452	OTHER		ANTHEM BCBS
2	000000181427	OTHER	OHIO	UNISON MEDICAID
3	0235203	OTHER	OHIO	MOLINA MEDICAID
4	001714040	OTHER		MOUNTAIN STATE BCBS
5	CH0397995	MEDICARE PIN	OHIO
6	310917085090	OTHER	OHIO	CARESOURCE MEDICAID
7	160017398	OTHER		RR MEDICARE
8	0092684000	MEDICAID	WEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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