JASON G. CHAMBERLIN


Address: 601 E Fort St, Farmington, IL 61531-0380
Phone: 3092452406

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 601 E FORT ST
City FARMINGTON
State IL
Zip Code 61531-0380

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City FARMINGTON
Zip Code 61531

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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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