Elizabeth Mae Chabot, M.D.

Key facts

NPI

1346530375

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

9693729-1205 (UT)

Practice address

8 TH Ave C St
Salt Lake City, UT 84143-1001

Phone

(801) 408-1100

NPI assigned

Apr 11, 2011

Sex

Female

Sole proprietor

No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment NPD UT
• University of Utah Adult Services General Practice Physician · Salt Lake City, UT · NPI 1114321981
  Medicare reassignment NPD UT
• Ihc Health Services Inc Orthopaedic Surgery Physician · Ogden, UT · NPI 1720123383
  NPD
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD
• University of Utah Adult Services Surgery Physician · Salt Lake City, UT · NPI 1548664352
  NPD SURGERY
• University of Utah Adult Services Diagnostic Radiology Physician · Salt Lake City, UT · NPI 1598169419
  NPD
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Orem, UT · NPI 1588601124
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc. General Acute Care Hospital · Salt Lake City, UT · NPI 1528078581
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

General Surgery

Education

Pennsylvania State University College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• LDS Hospital Hospital · Salt Lake City, UT · CCN 460006

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346530375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E PERRY AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TH AVE C ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841431001",
            "telephone_number": "801-408-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991001",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABOT",
        "first_name": "ELIZABETH",
        "middle_name": "MAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "9693729-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Salt Lake City, UT · Surgery Physician in Utah