CHAD CHASE (NPI# 1356333025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356333025 |
| Entity Type | Individual |
| Full Name | CHAD CHASE |
| Credential | PA |
| Practice Address |
103 Max Starcke Dam Rd Suite 100 Marble Falls TX 78654 |
| Mailing Address |
7800 Shoal Creek Blvd Ste 205-n Austin TX 78757 |
| Practice Telephone | 8307982082 |
| Practice Fax Number | 8306930040 |
| Mailing Telephone | 5122064300 |
| Mailing Fax Number | 5122064376 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
PA01729 | TX | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01729 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS | 89N253 | 01 |
| TX | RAILROAD MEDICARE | 970017497 | 01 |
| Street Address |
103 MAX STARCKE DAM RD SUITE 100 |
| City | MARBLE FALLS |
| State | TX |
| Zip Code | 78654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114581956 | Alicia Rose Hutchison | Audiologist | 810 W Tx 71, Marble Falls, TX 78654 | 2019-04-26 |
| 1386105732 | Sandi Sunny | Physical Therapist | 810 W.state Highway 71, Marble Falls, TX 78654 | 2019-03-28 |
| 1518464536 | Jacob Keup | Audiologist | 304b Highlander Cir, Marble Falls, TX 78654 | 2018-04-06 |
| 1851835458 | Laurence Robert Bower IIi | Physiological Laboratory | 2511 Us Highway 281, Ste 300, Marble Falls, TX 78654 | 2016-12-15 |
| 1366995235 | Tavie Coyle Peters | Nurse Practitioner | 707 3rd Street, Marble Falls, TX 78654 | 2016-07-27 |
| 1184088015 | Mark Dresselhouse | Emergency Medicine | 810 W Tx-71, Marble Falls, TX 78654 | 2016-04-06 |
| 1326413709 | Angela Yvonne Hughes | Occupational Therapist | 810 W. Hwy 71, Marble Falls, TX 78654 | 2015-12-10 |
| 1548671894 | Matthew F Mccarty Md Pllc | Chiropractor | 1710 Highway 1431, Marble Falls, TX 78654 | 2014-05-08 |
| 1538491386 | Jerad M Howell | Chiropractor | 2300 Highway 281 North, Marble Falls, TX 78654 | 2010-02-04 |
| 1801052543 | Logan Hyatt Stanley | Dentist | 800 Esperanza Avenue, Suite A, Marble Falls, TX 78654 | 2008-08-01 |
| Find all providers in zip 78654 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851530331 | Christina Gray | Physician Assistant | 707 3rd St, Marble Falls, TX 78654-5720 | 2009-02-06 |
| 1265594691 | Vaishali Mahesh Vaidya | Physician Assistant | 1701 Us Highway 281, Marble Falls, TX 78654-4311 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE FALLS |
| Zip Code | 78654 |
Please comment or provide details below to improve the information on CHAD CHASE.
| 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.