DR. JEFF D. CHANCELLOR (NPI# 1104886126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104886126 |
| Entity Type | Individual |
| Full Name | DR. JEFF D. CHANCELLOR |
| Credential | M.D. |
| Practice Address |
7700 Fish Pond Rd Waco TX 76710-1031 |
| Mailing Address |
Po Box 847408 Dallas TX 75284-7408 |
| Practice Telephone | 2547414444 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L3606 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE SHIELD | 8F5578 | 01 |
| Street Address |
7700 FISH POND RD |
| City | WACO |
| State | TX |
| Zip Code | 76710-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298494 | Laura S Byas | Counselor | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2005-07-08 |
| 1053821504 | Ashley A Aaron | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-10-10 |
| 1174057855 | Holly Elaine Kimball | Clinical Nurse Specialist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-04-19 |
| 1215389846 | Alyce Danielle Alven | Optometrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2016-07-07 |
| 1558741967 | Fernando Galindo | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2015-06-02 |
| 1649685462 | Jennifer Harwell | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710 | 2014-07-01 |
| 1932511276 | Lee Murphy | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-21 |
| 1881005031 | Adam Keith Jantz | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-09 |
| 1134470198 | Jamie Michele Olejarski | Internal Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-09-30 |
| 1700146586 | Allison Joy Achilefu | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066270 | Katy Britten Wesley | Obstetrics & Gynecology | 120 Hillcrest Medical Blvd Bldg II Suite 300, Waco, TX 76712-8951 | 2014-05-28 |
| 1629239579 | Lacy Coker Kessler | Obstetrics & Gynecology | 2420 Wycon Dr, Suite 403, Waco, TX 76712-8987 | 2008-06-23 |
| 1750575742 | Paula E Smith | Obstetrics & Gynecology | 50 Hillcrest Medical Blvd Ste 304, Waco, TX 76712-8955 | 2007-09-01 |
| 1881784775 | Kenneth Walter Koeritz Jr. | Obstetrics & Gynecology | 2501 Ambassador Dr, Waco, TX 76712-8944 | 2006-10-13 |
| 1801982152 | Homayun Seirafi | Obstetrics & Gynecology | 2410 Wycon Dr, Suite 204, Waco, TX 76712-8957 | 2006-10-05 |
| 1922112192 | Waco Center for Women's Health, P.a. | Obstetrics & Gynecology | 601 West Highway 6, Suite 101, Waco, TX 76712-5575 | 2006-08-18 |
| 1932117215 | Mark Rowe | Obstetrics & Gynecology | 405 Londonderry Dr Ste 311, Waco, TX 76712-7922 | 2006-08-03 |
| 1982663886 | Claudia G. Bachofen | Obstetrics & Gynecology | 120 Hillcrest Medical Blvd Ste 201-2, Waco, TX 76712 | 2006-03-20 |
| 1467420158 | Wilbur Gene Murff | Obstetrics & Gynecology | 3115 Pine, Ste 1001, Waco, TX 76708 | 2006-03-09 |
| 1689641656 | Chia-lien Wang | Obstetrics & Gynecology | 2410 Wycon Dr Ste 204, Waco, TX 76712-8991 | 2006-03-08 |
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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.