DR. JOHN H CHIDESTER


Address: 254 W. Lancaster Ave, Suite 2, Malvern, PA 19355-3087
Phone: 6106445040

DR. JOHN H CHIDESTER (NPI# 1124013586) 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) 1124013586
Entity Type Individual
Full Name DR. JOHN H CHIDESTER
Credential MD
Practice Address 254 W. Lancaster Ave
Suite 2
Malvern
PA 19355-3087
Practice Telephone 6106445040
Practice Fax Number 6106409170
Mailing Telephone 6106445040
Mailing Fax Number 6106409170
Enumeration Date 2005-09-13
Last Update Date 2008-03-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MD-019797-E PA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA PERSONAL CHOICE PROVIDER 055590 01
PA HIGHMARK GROUP ID # 1754466 01
PA IDENPENDENCE BLUE CROSS 02598600 01
PA AETNA PROVIDER NUMBER 3646 01

Other Providers JOHN CHIDESTER

NPI Name Taxonomy Address Enumeration
1508028473 John Chidester Social Worker 934 S Main St, Layton, UT 84041-7135 2008-07-01

Office Location

Street Address 254 W. LANCASTER AVE
SUITE 2
City MALVERN
State PA
Zip Code 19355-3087

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1588218044 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 2019-08-01
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1114449527 Reconstructive Orthopaedic Associates II, P.C. Prosthetic/Orthotic Supplier 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 2017-07-07
1285169243 Smile Exchange of Malvern, LLC Clinic/Center 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 2017-04-27
1669849162 Sahar Akhtar Counselor 288 Lancaster Ave Ste 1, Frazer, PA 19355 2015-08-31
1386020030 Laura Ann Treston Physical Therapy Assistant 60 Malvern Ave., Malvern, PA 19355 2015-08-05
1003217191 Hillary Schmid Behavioral Analyst 28 Clover Lane, Malvern, PA 19355 2014-09-09
1033528799 James Greco Pharmacist 50 Three Tun Rd Ste 2, Malvern, PA 19355 2014-08-07
1952712085 Rachael Joseph Community/Behavioral Health 45 Kelmar Avenue, Malvern, PA 19355 2014-05-12
1487081808 Ronia Arabatlian Social Worker 1 North Bacton Rd, 107, Malvern, PA 19355 2013-09-30
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578804100 Robert R Allen Specialist 10 Salem Way, Malvern, PA 19355-9705 2013-03-06
1962711143 Paul E Oberkircher Specialist 1490 Eaves Spring Dr, Malvern, PA 19355-8761 2010-10-05
1578711107 John R Neefe Specialist 3 Wheelock Ln, Malvern, PA 19355-8686 2008-09-08
1578760500 Valley Forge Sleep, LLC Specialist 1208 Woodview Way, Malvern, PA 19355-3223 2007-07-02
1053513416 William John Mills Specialist 418 S Warren Ave, Malvern, PA 19355-2707 2007-06-05
1669687430 Letishia Lyne Eide Specialist 910 Dyer St, Malvern, AR 72104-5253 2007-05-14
1093849366 Fleet Medical Inc Specialist 3206 Woodview Way, Malvern, PA 19355-3233 2007-03-16
1881132363 Lonnie Harrison, Pa Specialist 1003 Schneider Dr, Malvern, AR 72104-4811 2017-02-06
1679844419 Advanced Rheumatology Specialist 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 2012-01-25
1326289554 Sleepcare Centers Inc. Specialist 1208 Woodview Way, Malvern, PA 19355-3223 2009-03-18
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Competitor

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City MALVERN
Zip Code 19355

Improve Information

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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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