Active NPI
Mark Edward Chasteney, M.D.
- Obstetrics & Gynecology Physician
- Wynnewood, PA
National Provider Identifier
1558301218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD031663-E
- Practice address
- 100 E Lancaster Ave Ste 660
Lankenau Medical Building East
Wynnewood, PA 19096-3450 - Phone
- (610) 896-7550
- Fax
- (610) 896-7914
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD031663-E | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave Ste 660
Lankenau Medical Building East
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave Ste 660
Lankenau Medical Building East
Wynnewood, PA 19096-3450
Phone (610) 896-7550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4089061 | Other | PA | AETNA |
| CH35689 | Other | PA | HIGHMARK BLUE SHIELD |
| 0052756000 | Other | PA | INDEPENDENCA BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD031663-E | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Anesthesia Services of North America P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1558301218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 660",
"address_2": "LANKENAU MEDICAL BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-896-7550",
"fax_number": "610-896-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE STE 660",
"address_2": "LANKENAU MEDICAL BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-896-7550",
"fax_number": "610-896-7914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTENEY",
"first_name": "MARK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD031663-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4089061",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "CH35689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCA BLUE CROSS",
"identifier": "0052756000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.