DR. PHILLIP LEE CHAFFIN JR.


Address: 1055 N 300 W, Ste 401, Provo, UT 84604-3306
Phone: 8013577499

DR. PHILLIP LEE CHAFFIN JR. (NPI# 1134355225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134355225
Entity Type Individual
Full Name DR. PHILLIP LEE CHAFFIN JR.
Credential MD
Practice Address 1055 N 300 W
Ste 401
Provo
UT 84604-3306
Practice Telephone 8013577499
Practice Fax Number 8013735980
Mailing Telephone 8013577499
Mailing Fax Number 8013735980
Enumeration Date 2009-06-03
Last Update Date 2015-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YP0228X Otolaryngology
Specialization: Pediatric Otolaryngology
9348982-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 1055 N 300 W
STE 401
City PROVO
State UT
Zip Code 84604-3306

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NPI Name Taxonomy Address Enumeration
1851397491 Paul Ferron Olson Specialist 1055 N 300 W, Ste 204, Provo, UT 84604-3374 2005-06-27
1215351416 Jenny Coy Nurse Practitioner 1055 N 300 W, Ste 401, Provo, UT 84604-3306 2014-02-07
1356682553 Andrea Lee Driggs Nurse Practitioner 1055 N 300 W, Suite 110, Provo, UT 84604-3344 2013-03-13
1003151853 Sharla Morgan Nurse Practitioner 1055 N 300 W, Suite 212, Provo, UT 84604-3344 2012-12-05
1720356538 Ihc Health Services Inc Surgery 1055 N 300 W, Ste 205, Provo, UT 84604-5044 2011-12-07
1053691246 Steven Forsey Audiologist 1055 N 300 W, Ste 401, Provo, UT 84604-3344 2011-08-19
1417241704 Ihc Health Services Inc Psychiatry & Neurology 1055 N 300 W, Ste 501, Provo, UT 84604-3344 2011-06-03
1134435837 George C Gourley, Do Obstetrics & Gynecology 1055 N 300 W, Suite 305, Provo, UT 84604-3344 2010-08-19
1972818185 Joseph Evans Dansie Audiologist 1055 N 300 W, Suite 401, Provo, UT 84604-3344 2010-08-11
1619293552 Charles Brent Stubbs Pharmacist 1055 N 300 W, Suite 201, Provo, UT 84604-3344 2010-04-16
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NPI Name Taxonomy Address Enumeration
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1902308455 Afton Leuga Nurse Practitioner 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 2018-03-01
1851807333 Ihc Health Services Inc Family Medicine 380 W 1230 N, Ste 602, Provo, UT 84604 2017-12-20
1689180218 Ihc Health Services Inc Pediatrics 395 W Bulldog Blvd Ste 703, Provo, UT 84604 2017-12-19
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Taxonomy Information

Taxonomy Code 207YP0228X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Pediatric Otolaryngology

Taxonomy Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063876100 University of Utah Pediatric Services Otolaryngology 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-04-05
1285074617 Melanie Duval Otolaryngology 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2013-06-29
1841348240 Steven Michael Kelly Otolaryngology 1551 Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7667 2007-01-08
1477643070 Johannes Fredrik Grimmer Otolaryngology 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 2006-10-13
1972693596 Albert H. Park Otolaryngology 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 2006-10-13
1255421863 Harlan Ray Muntz Otolaryngology 100 N Medical Dr, Salt Lake City, UT 84113-1103 2006-10-13
1508875857 University of Utah Otolaryngology Pediatrics Otolaryngology 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2006-08-05
1417986209 University Ear Nose and Throat Associates Otolaryngology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2006-07-02

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City PROVO
Zip Code 84604

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Dataset Information

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.

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