Louis R Chanin, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

DO00791 Issued in TN

Practice address

60 Physicians LN
Suite 1
Southaven, MS 38671-6122

Phone

(662) 349-0707

Fax

(662) 349-0708

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By 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

Medicare fee-for-service enrollment

Enrolled in MS

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 Osteopathy

State licenses

Practice roles

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.

• Traent LLC

  • Clinic/Center
  • Southaven, MS
  • NPI 1598038481
  Authorized official Same address or phone
• Adult Primary Care of Memphis PC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1376738906
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1487827853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PHYSICIANS LN",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716122",
            "telephone_number": "662-349-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PHYSICIANS LN",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716122",
            "telephone_number": "662-349-0707",
            "fax_number": "662-349-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANIN",
        "first_name": "LOUIS",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "DO00791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centered Solutions Psychiatry, LLC
• Central Fabrication, Inc. (CFI Prosthetics-Orthotics)
• Cha'Lique Medical Massage Spa
• Ki M Chang, MD
• Changing Life at Home Ms LLC
• Saraka Chapman, NP
• Justin Nathaniel Augustus Charles, PHARMD
• Meagan Duval Chastant-Qualls, FNP
• Sufiyan H Chaudhry, MD
• Claye W Childers, PTA

• Otolaryngology Physician in Southaven, MS
• Providers in Southaven, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.