JASON G. CHAMBERLIN (NPI# 1831207349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831207349 |
Entity Type | Individual |
Full Name | JASON G. CHAMBERLIN |
Credential | DO |
Practice Address |
601 E Fort St Farmington IL 61531-0380 |
Mailing Address |
180 S Main St Canton IL 61520-2608 |
Practice Telephone | 3092452406 |
Practice Fax Number | 3096496880 |
Mailing Telephone | 3092452406 |
Mailing Fax Number | 3096495101 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2016-04-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 036101084 | IL | Allopathic & Osteopathic Physicians |
N | 208000000X | Pediatrics | 036101084 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | UMWA | 0062839 | 01 |
IL | RR MEDICARE GROUP# | CG5172 | 01 |
IL | OSF HEALTHPLANS | 101084 | 01 |
IL | BCBS | 02922981 | 01 |
IL | NPI CLINIC NUMBER | 1942315197 | 01 |
IL | JOHN DEERE | IL0139 | 01 |
IL | HEALTH ALLIANCE | 069684 | 01 |
IL | 036101084 | 05 | |
IL | BLACK LUNG | 200397 | 01 |
IL | HEALTH LINK | 461760 | 01 |
Street Address |
601 E FORT ST |
City | FARMINGTON |
State | IL |
Zip Code | 61531-0380 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821106345 | Nancy J Crouse | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-25 |
1841436268 | Graham Hospital Association | Family Medicine | 601 E Fort St, Farmington, IL 61531-1338 | 2009-01-07 |
1548378789 | Debra L Hayes | Nurse Practitioner | 601 E Fort St, Farmington, IL 61531-1338 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447800966 | Patricia Diden-staggs | Technician | 30 S Wall St, Farmington, IL 61531 | 2019-09-17 |
1164940482 | Carrie King | Speech-Language Pathologist | 145 N. Main, Farmington, IL 61531 | 2017-09-07 |
1447235601 | Spoon River Home Health Services, Inc. | Home Health | 48 N East St, Farmington, IL 61531-1213 | 2005-12-09 |
1801913256 | Shantha Murthy | Dentist | 138 E Fort St, Farmington, IL 61531-1219 | 2007-03-23 |
1922256775 | Candy Sue Johnson | Nurse Practitioner | 158 E Fulton St, Farmington, IL 61531-1227 | 2008-09-05 |
1588792147 | Kathy S Brown | Chiropractor | 23 E Vernon St, Farmington, IL 61531-1278 | 2007-03-02 |
1588974513 | Midwest Family Chiropractic PC | Chiropractor | 23 E Vernon St, Farmington, IL 61531-1278 | 2010-10-08 |
1801410162 | Michelle Elizabeth Victoria Escue | Speech-Language Pathologist | 701 S Main St, Farmington, IL 61531-1460 | 2020-06-02 |
1245741198 | Samantha Jane Crow | Occupational Therapist | 701 S Main St, Farmington, IL 61531-1460 | 2017-10-18 |
1790214211 | Sarah Beth House | Speech-Language Pathologist | 701 S Main St, Farmington, IL 61531-1460 | 2017-06-08 |
Find all providers in zip 61531 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841642659 | Mian Harris Iftikhar | Internal Medicine | Center On Aging 263 Farmington Avenue, Farmington, CT 06030-5215 | 2016-07-05 |
1275989410 | Pamela Georges Samaha | Internal Medicine | 2 West 263 Farmington Avenue, Internal Medicine Associates, Outpatient Pavilion, Farmington, CT 06032 | 2016-05-06 |
1366821878 | John J. Wisniewski | Internal Medicine | 36728 Brittany Hill Dr, Farmington, MI 48335-2906 | 2015-05-29 |
1972914901 | Ryan Alexander Darnall | Internal Medicine | Uconn Health Center School of Medicine, General Medicine Clinic-mc2811 263 Farmington Ave., Farmington, CT 06030-2811 | 2014-05-13 |
1598104564 | Cynthia Evans | Internal Medicine | Primary Care Internal Medicine, Uconn Health Center 263 Farmington Ave., Farmington, CT 06030-1234 | 2013-06-22 |
1790030195 | Bishan Chakravarty | Internal Medicine | 703 Maple Valley Drive, Farmington, MO 63640 | 2012-07-21 |
1790045086 | Yuriy Kulyak | Internal Medicine | 270 Farmington Ave Ste 352, Farmington, CT 06032-1996 | 2012-05-21 |
1740569763 | Genesis Physician Associates LLC | Internal Medicine | 4801 N Butler Avenue, Suite 8102, Farmington, NM 87401-0818 | 2011-08-08 |
1285927996 | David Rice, Md, LLC, P.a. | Internal Medicine | 107 Box Shop Hl, Farmington, ME 04938-5749 | 2011-05-27 |
1639499759 | Jaime Padavil Moskowitz | Internal Medicine | 406 Farmington Ave, Farmington, CT 06032-1964 | 2010-06-11 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 61531 |
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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.