CHS Pennsylvania Medical, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHS PENNSYLVANIA MEDICAL, P.C.

Practice address

5500 Maryland Way Ste 200
Brentwood, TN 37027-4973

Phone

(615) 577-4927

NPI assigned

Jan 17, 2014

Organization subpart

Yes

Parent organization

CHS HEALTH SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Stuart Clark

Title

Executive VP

Phone

(615) 577-5890

Specialties & licenses 1

Addresses

Other names 1

• Vanguard CrewCare Wellness Center Doing business as

Tax ID family

Altria Health Center3 organizations share this tax ID, including this one

Part of

Google Wellness Center 321

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• CHS Pennsylvania Medical, P.C.

  • General Practice Physician
  • King of Prussia, PA
  • NPI 1063765030
  NPD tax ID
• CHS Pennsylvania Medical, PC

  • General Practice Physician
  • Limerick, PA
  • NPI 1790038750
  NPD tax ID

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1073935599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274973",
            "telephone_number": "615-577-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PENNSYLVANIA MEDICAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES LLC",
        "enumeration_date": "2014-01-17",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "615-577-5890"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanguard CrewCare Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Chou, CNIM
• Michael M. Christian
• Christianne Downey, M.a., LPC/MHSP, PLLC
• Samantha J Chriswell
• Laren Chronowski
• CHS Texas Medical, P.a.
• CHS TX, Inc.
• Helen K Chung-Hussain, DO
• David Citarrella, CNIM
• CKKN, LLC

• General Practice Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.