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

Last updated

Dec 8, 2014By the provider in NPPES

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 1

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

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

• Keeling Health Center

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

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

{
    "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

• Athletic Trainer in Clarion, PA
• Providers in Clarion, PA by specialty
• 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.