Richard I Chase, OWNER

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

00887 Issued in MD

Practice address

1721 Pennsylvania Ave
Baltimore, MD 21217-3119

Phone

(410) 523-2121

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1023142072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "MONKTON",
            "state": "MD",
            "postal_code": "211110374",
            "telephone_number": "443-522-9479",
            "fax_number": "443-522-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173119",
            "telephone_number": "410-523-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "RICHARD",
        "middle_name": "I",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MD",
            "license": "00887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357668000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "T041",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devika Padgaonkar Chase, M.D.
• Gretchen Chase
• Heather Swain Chase, LCSW-C
• Margaret Chase
• Mikayla Chase
• Shindreia Chase, CFSD
• Rose Chasm
• Allison Quinn Chason, LCSW-C
• Anna Kathryn Chassevent, SCM
• James Allen Chastain, M.A., BCBA

• Primary Podiatric Medicine Podiatrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Primary Podiatric Medicine Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.