TED A CHAKA (NPI# 1780613414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780613414 |
| Entity Type | Individual |
| Full Name | TED A CHAKA |
| Credential | P.A. |
| Practice Address |
2074 Antilley Rd Abilene TX 79606-5209 |
| Practice Telephone | 3256983865 |
| Practice Fax Number | 3257931295 |
| Mailing Telephone | 2536983865 |
| Mailing Fax Number | 3257931295 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04129 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX STATE PA LICENSE | PA04129 | 01 |
| Street Address |
2074 ANTILLEY RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568415206 | Clifford L Deprang | Orthopaedic Surgery | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2006-05-17 |
| 1033681226 | Julie Watts | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2018-12-28 |
| 1487124996 | Larissa Lynskey | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2018-11-27 |
| 1689156614 | Alfonso Scandrett | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2018-09-06 |
| 1932608411 | Armando Adrian Palos | Physician Assistant | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2018-02-09 |
| 1598264731 | Raustin W Harris | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2018-02-02 |
| 1902328420 | Tammy Denise Fanning | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2017-07-17 |
| 1083152219 | Jesse Rawlings | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2017-02-08 |
| 1891166484 | Andrea Reeves | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2015-10-08 |
| 1134511678 | Hillary Blare | Physical Therapist | 2074 Antilley Rd, Abilene, TX 79606-5209 | 2015-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063072536 | Alvis Ben Trent | Physician Assistant | 2200 Hickory St # 16236, Abilene, TX 79601-2345 | 2019-06-17 |
| 1134640865 | Chandler Blair Milliorn | Physician Assistant | 1900 Pine St # 1502, Abilene, TX 79601-2432 | 2017-07-03 |
| 1568901551 | Kayla Matschek | Physician Assistant | 5757 Timbercat Dr, Abilene, TX 79606-1745 | 2017-02-23 |
| 1386090728 | Taylor Hm Physician Services, Pa | Physician Assistant | 6250 Hwy 83/84 At Antilley Rd, Abilene, TX 79606-5215 | 2016-05-04 |
| 1093866162 | Larry Paul Clifton | Physician Assistant | 3001 S 27th St, Abilene, TX 79605-6331 | 2007-01-16 |
| 1316058902 | Belinda W Dutton | Physician Assistant | 1758 S Clack St, Abilene, TX 79605-4611 | 2006-08-31 |
| 1164485686 | John Frailing | Physician Assistant | 533 Prosperity Rd, Abilene, TX 79602-5582 | 2006-04-07 |
| 1134102056 | Gina W. Kleiv | Physician Assistant | 4009 Ridgemont Dr, Abilene, TX 79606-2733 | 2005-11-23 |
| 1215927587 | Calvin J Abor | Physician Assistant | 950 N 19th St Ste 100, Abilene, TX 79601-2420 | 2005-10-26 |
| 1730178328 | Robert M Schreier | Physician Assistant | 560 N Judge Ely Blvd, Abilene, TX 79601-5556 | 2005-10-17 |
| Find all providers in ABILENE | ||||
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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.