Jacob Daniel Chaney in Tyler - Physician Assistant
Jacob Daniel Chaney - NPI 1114969060
Jacob Daniel Chaney is a Physician Assistant in Tyler, Texas. Jacob Daniel Chaney practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacob Daniel Chaney is 1114969060. The last update date is 2019-04-08.
Jacob Daniel Chaney's current location address is 1327 Troup Hwy, Tyler, Texas. You can contact this provider via phone number 9035108840. The mailing address for Jacob Daniel Chaney is 1327 Troup Hwy, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Daniel Chaney |
|---|---|
| Address | 1327 Troup Hwy, Tyler, Texas |
| Phone Number | 9035108840 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1114969060 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2019-04-08 |
Provider Mailing Address Detail
| Address | 1327 Troup Hwy |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757014443 |
| Phone Number | 9035108840 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA02875 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 183908603 | TX | -- | |
| 75-2616977-042 | TX | TRICARE | |
| 183908601 | TX | -- | |
| 776514 | TX | MEDICARE | |
| 8Y9987 | TX | BCBS OF TEXAS |
Post Comment/ Review Below
What is the unique identification code assigned to Jacob Daniel Chaney by the Centers for Medicare & Medicaid Services?
The Jacob Daniel Chaney has been issued the NPI (National Provider Identifier) 1114969060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Daniel Chaney located?
The Jacob Daniel Chaney is located at 1327 Troup Hwy, Tyler, TX 757014443.
What is Jacob Daniel Chaney's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacob Daniel Chaney is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114969060 to Jacob Daniel Chaney?
The Jacob Daniel Chaney received its 1114969060 assignment from the Centers for Medicare & Medicaid Services on 2006-06-12.
As of what date was the information pertaining to Jacob Daniel Chaney, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacob Daniel Chaney, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-08.
NPI Number: 1194728337
Address: 5430 Fredericksburg Rd, San Antonio, TX