Michael John Chesterfield, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004383 Issued in PA

Practice address

840 Wood St
Clarion, PA 16214-1240

Phone

(814) 393-2006

Fax

(814) 393-1735

NPI assigned

Dec 8, 2014

Sex

Male

Sole proprietor

No

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.

• Keeling Health Center

  • Student Health Clinic/Center
  • Clarion, PA
  • NPI 1962602318
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19587/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2014.

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1407254451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141240",
            "telephone_number": "814-393-2006",
            "fax_number": "814-393-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WOOD ST",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162141240",
            "telephone_number": "814-393-2006",
            "fax_number": "814-393-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTERFIELD",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIR",
            "identifier": "RT004383",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Community Resources, Inc.
• Center for Community Resources, Inc.
• Kirk William Chadwick, D.C.
• Connie A Chapman, BA
• Waleed Chaudhry
• Chong Min Park, M.D. P.C.
• Chong Min Park, M.D.,P.C.
• Clarion Area School District
• Clarion Audiology Associates
• Clarion Co MH Mr Drug & Alcohol

• All providers in Clarion, PA
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.