J SCOTT CHENNAULT, D.O. (NPI# 1902945421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902945421 |
| Entity Type | Organization |
| Organization Name | J SCOTT CHENNAULT, D.O. |
| Practice Address |
1103 Woodson Dr Caldwell TX 77836-1052 |
| Mailing Address |
Po Box 1154 Caldwell TX 77836-6154 |
| Practice Telephone | 9795677080 |
| Mailing Telephone | 9795677080 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN SCOTT CHENNAULT (PHYSICIAN) |
| Authorized Official Telephone | 9795677080 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD TX | 00D79E | 01 |
| TX | CHIP | 113320 | 01 |
| Street Address |
1103 WOODSON DR |
| City | CALDWELL |
| State | TX |
| Zip Code | 77836-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922058502 | Kia E Parsi | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-05-12 |
| 1376920041 | Tawnya Anderson | Nurse Practitioner | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2015-05-01 |
| 1083990337 | Alyson Patrice Rockhold | Physician Assistant | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2011-11-01 |
| 1609150465 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2011-09-28 |
| 1437443751 | Kyle Winkler | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836 | 2011-06-03 |
| 1689803496 | Loy Elizabeth Watson | Registered Nurse | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2009-07-14 |
| 1316069982 | Kristel Dawn Leubner | Family Medicine | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2007-04-04 |
| 1932276235 | St. Joseph Regional Health Center | Clinic/Center | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-11-29 |
| 1215965272 | John Wallace Young Jr. | Physician Assistant | 1103 Woodson Dr, Caldwell, TX 77836-1052 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750529913 | Caldwell I Enterprises, LLC | Assisted Living Facility | 343 Country Club Dr, Caldwell, TX 77836 | 2009-01-27 |
| 1285784397 | Elza Leroy Kutch | Optometrist | 3431 County Rd 330, Caldwell, TX 77836 | 2007-01-11 |
| 1609947654 | Johanna A Elliott | Chiropractor | 101 Hwy 21 E, Caldwell, TX 77836 | 2006-11-13 |
| 1194825547 | Brookshire Brothers Inc | Pharmacy | 455 Hwy 36 N, Caldwell, TX 77836 | 2006-09-25 |
| 1225066541 | Joseph Bennett Jones | Emergency Medicine | 11410 County Road 311, Caldwell, TX 77836 | 2006-06-28 |
| 1093175184 | Waqas Tufail Od Pa | Optometrist | 2901 Riley Fuzzell Road, Spring, TX 77836 | 2016-03-02 |
| 1548687171 | Burleson County Hospital District | Skilled Nursing Facility | 1022 Presidential Corridor East, Caldwell, TX 77836 | 2014-03-20 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1548891336 | Courtney Jane Chmelar | Student in an Organized Health Care Education/Training Program | 1004 Woodson Dr, Caldwell, TX 77836-1000 | 2020-01-30 |
| 1538596705 | Burleson County Family Medicine Pllc | Clinic/Center | 1012 Woodson Dr, Caldwell, TX 77836-1000 | 2013-10-03 |
| Find all providers in zip 77836 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902143126 | Idaho Behavioral Health, Inc. | Family Medicine | 524 S 9th Ave, #101, Caldwell, ID 83605-5075 | 2013-01-08 |
| 1104089556 | J'cinda J'nae Bitters | Family Medicine | 211 E Logan St Ste 301, Caldwell, ID 83605-4882 | 2008-07-07 |
| 1467631598 | Del B. Stigler M.d. | Family Medicine | 302 Highway 21 West, Caldwell, TX 77836-0000 | 2007-10-25 |
| 1679648836 | Del Barker Stigler | Family Medicine | 302 W Highway 21, Caldwell, TX 77836-1122 | 2006-11-22 |
| 1346252855 | Robert A Spencer | Family Medicine | 304 Main Street, Caldwell Clinic, Caldwell, OH 43724-1396 | 2006-08-13 |
| 1396760385 | Travis Lee Page | Family Medicine | 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 | 2006-07-12 |
| 1013945070 | John Scott Chennault | Family Medicine | 1010 Woodson Dr, Caldwell, TX 77836-1000 | 2006-06-29 |
| 1720022239 | Patrick D Stowell | Family Medicine | 512 N 21st Ave, Caldwell, ID 83605-4368 | 2006-06-15 |
| 1306880844 | John R Pearce | Family Medicine | 1825 S Kimball Ave, Caldwell, ID 83605-4828 | 2006-06-15 |
| 1891740643 | Premier Family Medical, PC | Family Medicine | 110 Bloomfield Ave, Caldwell, NJ 07006-5336 | 2006-05-23 |
| Find all providers in CALDWELL | ||||
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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.