DR. JEFFREY KENNETH CHAULK (NPI# 1710925334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710925334 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY KENNETH CHAULK |
| Credential | MD |
| Practice Address |
350 W North St Gaylord MI 49735-1525 |
| Mailing Address |
Po Box 1665 Gaylord MI 49734-5665 |
| Practice Telephone | 9897326455 |
| Practice Fax Number | 9897321102 |
| Mailing Telephone | 9897326455 |
| Mailing Fax Number | 9897321102 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301405077 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3038315 | 05 | |
| MA | ADMINASTAR FEDERAL | 0585020001 | 01 |
| MI | RAILROAD MEDICARE | 180012703 | 01 |
| MI | MEDICARE PLUS BLUE | 0F94502001 | 01 |
| MI | BCBS | 1806920011 | 01 |
| Street Address |
350 W NORTH ST |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205212131 | Roxanne Rottiers | Optometrist | 350 W North St, Gaylord, MI 49735-1525 | 2015-08-03 |
| 1437470325 | Michael Louis Habryl | Ophthalmology | 350 W North St, Gaylord, MI 49735-1525 | 2010-06-15 |
| 1407984909 | Joseph William Doe Iv | Ophthalmology | 350 W North St, Gaylord, MI 49735-1525 | 2007-02-28 |
| 1215065727 | Jeffrey K Chaulk Md PC | Optometrist | 350 W North St, Gaylord, MI 49735-1525 | 2007-02-28 |
| 1275611246 | William Roy Shouldice | Optometrist | 350 W North St, Gaylord, MI 49735-1525 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437470325 | Michael Louis Habryl | Ophthalmology | 350 W North St, Gaylord, MI 49735-1525 | 2010-06-15 |
| 1407984909 | Joseph William Doe Iv | Ophthalmology | 350 W North St, Gaylord, MI 49735-1525 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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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.