Jack Chaney (NPI# 1104803642, PAC ID# 6709825284) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1104803642 |
| PAC ID by PECOS | 6709825284 |
| Professional Enrollment ID | I20100522000004 |
| Full Name | Jack Chaney |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Phone Number | 9542652333 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1557267473 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| 100230 | MEMORIAL HOSPITAL PEMBROKE |
| Address | Phone | Organization |
|---|---|---|
| 3501 Johnson St, Hollywood, FL 33021-5421 | 9542652333 | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| 3600 Washington St, Hollywood, FL 33021-5421 | 9542652333 | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| 1901 Sw 172 Ave, Miramar, FL 33029-5592 | 9545384672 | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 | 9544306889 | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 9549638417 | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF SOUTH BROWARD, LLP |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad A Lari | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Sherry L Woodhouse | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Andrei Plagov | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Ihsane Ouansafi | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Souhad Younes | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Ana M Gomez | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Gerald F Reis | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Nat Pinnar | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| David Scott Marshall | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Elena R Ladich | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-5421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather S Spader | Neurosurgery | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Anna Janulewicz | Anesthesiology Assistant | Sheridan Healthcorp Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Mohammad A Lari | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Angelica R Jimenez | Family Medicine | Eastside Hospitalists Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Shirley Chen | Critical Care (intensivists) | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Sherry L Woodhouse | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Jeanette Alvarez | Internal Medicine | Eastside Hospitalists Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Derrick G Glymph | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Robin L Crum | Certified Nurse Midwife (cnm) | All Womens Healthcare Inc | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Andrei Plagov | Pathology | Pathology Consultants of South Broward, LLP | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | PATHOLOGY |
| City + Specialty | HOLLYWOOD + PATHOLOGY |
Please comment or provide details below to improve the information on Jack Chaney.
| 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.