JOHN KABZEEL YESUDAS CHACKO (NPI# 1972695872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972695872 |
| Entity Type | Individual |
| Full Name | JOHN KABZEEL YESUDAS CHACKO |
| Credential | M.D. |
| Practice Address |
3212 Churchland Boulevard Suite 8 Chesapeake VA 23321-5206 |
| Mailing Address |
3212 Churchland Boulevard Suite 8 Chesapeake VA 23321 |
| Practice Telephone | 7573990886 |
| Practice Fax Number | 7573991191 |
| Mailing Telephone | 7573990886 |
| Mailing Fax Number | 7573991191 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101037065 | VA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101037065 | VA | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | 0101037065 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC BS | 174596 | 01 |
| VA | OPTIMA | 15421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063434413 | John T Chacko | Urology | 3051 6th St, Marianna, FL 32446-1933 | 2006-07-24 |
| Street Address |
3212 CHURCHLAND BOULEVARD SUITE 8 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376635276 | Eastern Virginia Surgical Associates, Inc. | Surgery | 3212 Churchland Boulevard, Suite 8, Chesapeake, VA 23321-5206 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| 1265669568 | Henry Patterson | Surgery | 624 Wickwood Dr, Chesapeake, VA 23322-5875 | 2009-06-15 |
| 1720226285 | Warren Irving Hercules | Surgery | 400 Albemarle Dr, Chesapeake, VA 23322-5504 | 2009-01-21 |
| 1700968203 | Greenbrier Surgical Associates PC | Surgery | 2147 Old Greebrier Rd, Chesapeake, VA 23320 | 2006-10-20 |
| 1619073582 | Juan Murillo Montero II | Surgery | 524 Woodards Ford Rd, Chesapeake, VA 23322-4341 | 2006-09-16 |
| 1982630307 | Ivor Purchas | Surgery | 2537 Lakewood Ln, Chesapeake, VA 23321-3703 | 2006-06-25 |
| 1770519381 | Tidewater Surgical Specialists, Pllc | Surgery | 3205 Churchland Blvd, Chesapeake, VA 23321-5262 | 2006-06-24 |
| 1013960814 | Mohib N I Ghobrial | Surgery | 109c Wimbledon Square, Chesapeake, VA 23320 | 2006-05-19 |
| 1083688972 | Robert Joseph Chastanet | Surgery | Chesapeake Weight Loss, 221 Mt. Pleasant Road, Chesapeake, VA 23322 | 2006-02-15 |
| 1356682314 | Robert Brian Mclendon | Surgery | 113 Gainsborough Sq Ste 400, Chesapeake, VA 23320-1714 | 2013-03-14 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on JOHN KABZEEL YESUDAS CHACKO.
| 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.