Michael Alan Chavin, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD32281 Issued in TN

Practice address

1124 N Broadway St
Morristown Pain Consultants Dba Broadway Neck and Spine
Knoxville, TN 37917-6527

Phone

(865) 444-5059

Fax

(865) 540-6804

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1386736841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N BROADWAY ST",
            "address_2": "MORRISTOWN PAIN CONSULTANTS DBA BROADWAY NECK AND SPINE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176527",
            "telephone_number": "865-444-5059",
            "fax_number": "865-540-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 N BROADWAY ST",
            "address_2": "MORRISTOWN PAIN CONSULTANTS DBA BROADWAY NECK AND SPINE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379176527",
            "telephone_number": "865-444-5059",
            "fax_number": "865-540-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "MD32281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3848929",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4031461",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050081200",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Chavarria, LCSW
• Jack J Chavez, M.D.
• Juliann Marie Chavez, PHD, RD, LDN
• Lauren Kirk Chavez, RDN, LDN
• Zalena Chavez
• Austin D Chavira, LCSW
• Jerica Cheatham, NP
• David Cheek, B.S.
• Macey Michelle Cheek
• Aiden J Chehade, MS

• Pain Medicine (Anesthesiology) Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.