NPIMap

Organization Active NPI

Stephen O Chastain MD PC

  • Adult Medicine Physician
  • Methuen, MA
National Provider Identifier
1053502153
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
45089 Issued in MA
Legal business name
STEPHEN O CHASTAIN MD PC
Practice address
33 Lawrence St
Methuen, MA 01844-4445
Phone
(978) 683-3023
Fax
(978) 691-5139
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Stephen O Chastain, MD
Title
President
Phone
(978) 683-4314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 45089 MA Primary

Addresses

Primary practice location

33 Lawrence St
Methuen, MA 01844-4445

Mailing address

33 Lawrence St
Methuen, MA 01844-4445
Phone (978) 683-3023

National Provider Directory

National Provider Directory

Locations

33 Lawrence St
Methuen, MA 01844
Phone (978) 683-3023

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1053502153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LAWRENCE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444445",
            "telephone_number": "978-683-3023",
            "fax_number": "978-691-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LAWRENCE ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444445",
            "telephone_number": "978-683-3023",
            "fax_number": "978-691-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN O CHASTAIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "CHASTAIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-683-4314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "45089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.