1528045424 NPI number — JASON PIERCE CHANCEY CRNA

Table of content: JASON PIERCE CHANCEY CRNA (NPI 1528045424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528045424 NPI number — JASON PIERCE CHANCEY CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHANCEY
Provider First Name:
JASON
Provider Middle Name:
PIERCE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528045424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3090
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37320-3090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-472-6513
Provider Business Mailing Address Fax Number:
423-476-2062

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2080 CHAMBLISS AVE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-472-6513
Provider Business Practice Location Address Fax Number:
423-476-2062
Provider Enumeration Date:
12/30/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  CRNA#052691 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3629846 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".