John Henry Chidester Iv


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

John Henry Chidester Iv (NPI# 1124013586, PAC ID# 4284808049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1124013586
PAC ID by PECOS 4284808049
Professional Enrollment ID I20111114000639
Full Name John Henry Chidester Iv
Address 254 Lancaster Ave
Suite 2
Malvern
PA 19355-3087
Phone Number 6106445040
Gender M
Medical School UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
Graduation Year 1970
Primary Specialty ORTHOPEDIC SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
390153 PAOLI HOSPITAL

Other Locations

Address Phone Organization
254 Lancaster Ave, Suite 2, Malvern, PA 19355-3087 6106445040

Organization Information

Office Location

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

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Competitor

Search similar physicians

City MALVERN
Zip Code 19355
Specialty ORTHOPEDIC SURGERY
City + Specialty MALVERN + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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