Active NPI
Craig B Chaney, MD
- Diagnostic Radiology Physician
- Shelbyville, IL
National Provider Identifier
1063572923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 200 South Cedar
Shelbyville, IL 62565-1838 - Phone
- (217) 774-3961
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary |
Addresses
Primary practice location
200 South Cedar
Shelbyville, IL 62565-1838
Mailing address
PO Box 924
Mattoon, IL 61938
Phone (217) 235-9729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036068190 | IL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063572923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 924",
"city": "MATTOON",
"state": "IL",
"postal_code": "61938",
"telephone_number": "217-235-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SOUTH CEDAR",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625651838",
"telephone_number": "217-774-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "CRAIG",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IL
- Stephanie Javue Burrell, LPN
- Marci Rene' Campbell, RPH
- Central East Alcoholism and Drug Council
- Cep America-Illinois Hospitalists, LLP
- Cepamerica Illinois LLP
- Amy Jo Clarey
- Jacqueline R Clayton, APN
- Macy Michelle Collins
- Community Care Systems, Inc.
- County of Shelby (Shelby County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.