Jay H Chappell (NPI# 1659379824, PAC ID# 6709799026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1659379824 |
| PAC ID by PECOS | 6709799026 |
| Professional Enrollment ID | I20031111000797 |
| Full Name | Jay H Chappell |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Address |
960 N 16th St Suite 304 Springfield OR 97477-4175 |
| Phone Number | 5417446172 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1254307994 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| 380090 | BAY AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 960 N 16th St, Suite 304, Springfield, OR 97477-4175 | 5417446172 | MCKENZIE PHYSICIAN SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Martin | Nurse Practitioner | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Craig A Peck | Nurse Practitioner | Mckenzie Physician Services LLC | 4480g Hwy 101, Florence, OR 97439-8910 |
| John Egar | Internal Medicine | Mckenzie Physician Services LLC | 705 9th St, Florence, OR 97439-8479 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Street Address |
960 N 16TH ST SUITE 304 |
| City | SPRINGFIELD |
| State | OR |
| Zip | 97477-4175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Martin | Nurse Practitioner | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Bryan M Mcvay | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Maile E Parker | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Nhan V. Pham | General Surgery | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Eric James Nordsieck | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Suite 304, Springfield, OR 97477-4175 |
| Paula F Ciesielski | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Springfield, OR 97477-4175 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Trezona | Surgical Oncology | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Sydney Katherine Johnstone | Physician Assistant | Cascade Surgical Oncology PC | 3783 International Ct, Suite 200, Springfield, OR 97477-1025 |
| Jason R Oilar | Optometry | 3783 International Ct, Suite 160, Springfield, OR 97477-1025 | |
| Deven L Smith | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lauren A Hammock | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Denis M Mccarthy | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| John Paul Ditomasso | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| David Scott Meyers | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Lamont A Wettstein | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Joe Robert Mcfarlane | Pathology | Pathology Consultants, PC | 123 International Way, Springfield, OR 97477-1047 |
| Find all physicians in zip 97477 | |||
| City | SPRINGFIELD |
| Zip Code | 97477 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SPRINGFIELD + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.