Individual provider Active NPI

Chase Clanton

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1477816429
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP10043353 Issued in TX
Practice address
3601 4TH St Stop 8182
Lubbock, TX 79430-8182
Phone
(806) 743-2981
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10043353 TX Primary

Addresses

Primary practice location

3601 4TH St Stop 8182
Lubbock, TX 79430-8182

Mailing address

910 Milwaukee Ave
Apt 1012
Lubbock, TX 79416-5969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240306001073 FL Practitioner - Anesthesiology 8729386149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Anesthesia Consultants PAGroup PAC ID 6204729056, 17 clinicians

Practice addresses (Care Compare)

88 W Kaley St
Orlando, FL 32806-2931
Phone (407) 423-0573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10043353TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Anesthesia Consultants PA Anesthesiology CurrentSince Jan 8, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Anesthesiology Past Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients

Locations

201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079

88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1477816429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MILWAUKEE AVE",
            "address_2": "APT 1012",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 8182",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794308182",
            "telephone_number": "806-743-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANTON",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10043353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.