Active NPI
Matthew Chase, M.D.
- Emergency Medicine Physician
- London, OH
National Provider Identifier
1215339486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.046752
- Practice address
- 1851 State Route 56
Infirmary
London, OH 43140 - Phone
- (740) 852-9777
- NPI assigned
- Sep 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35.046752 | OH | Primary |
Addresses
Primary practice location
1851 State Route 56
Infirmary
London, OH 43140
Mailing address
PO Box 740
1851 State Route 56
London, OH 43140-0740
Phone (740) 852-9777
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.046752 | OH | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1215339486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740",
"address_2": "1851 STATE ROUTE 56",
"city": "LONDON",
"state": "OH",
"postal_code": "431400740",
"telephone_number": "740-852-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 STATE ROUTE 56",
"address_2": "INFIRMARY",
"city": "LONDON",
"state": "OH",
"postal_code": "43140",
"telephone_number": "740-852-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.046752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.