Michael Jason Chastant (NPI# 1083944185, PAC ID# 4284818923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083944185 |
| PAC ID by PECOS | 4284818923 |
| Professional Enrollment ID | I20110405000397 |
| Full Name | Michael Jason Chastant |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
2608 Mcdonald Rd Tyler TX 75701-5934 |
| Phone Number | 9035955514 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2608 Mcdonald Rd, Tyler, TX 75701-5934 | 9035955514 | ETMC PHYSICIAN GROUP, INC. |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| John G Pogue | Psychiatry | Etmc Physician Group, Inc. | 4101 University Blvd, Tyler, TX 75701-6623 |
| Street Address |
2608 MCDONALD RD |
| City | TYLER |
| State | TX |
| Zip | 75701-5934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish Gangasani | Cardiac Electrophysiology | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Monica G Hudspeth | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Natalye Shan Combs | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| William E Mirabal | Physician Assistant | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Raul A Torres-heisecke | Cardiac Electrophysiology | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TYLER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.