Antietam Surgeons Charles R Chaney MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

D0014398 Issued in MD

Legal business name

ANTIETAM SURGEONS CHARLES R CHANEY MD PA

Practice address

363 S Cleveland Ave
Hagerstown, MD 21740-5747

Phone

(301) 791-4866

Fax

(301) 791-1297

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles R Chaney, MD

Title

President Antietam Surgeons

Phone

(301) 791-4866

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1588770465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 S CLEVELAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405747",
            "telephone_number": "301-791-4866",
            "fax_number": "301-791-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 S CLEVELAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405747",
            "telephone_number": "301-791-4866",
            "fax_number": "301-791-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIETAM SURGEONS CHARLES R CHANEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT ANTIETAM SURGEONS",
        "authorized_official_telephone_number": "301-791-4866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0014398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "213667",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "K4820001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1388590",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antietam Neurology Center, PA
• Antietam Oncology & Hematology Group, PC
• Antietam Orthodontics
• Antietam Pediatric and Adolescent Care, LLC
• Antietam Periodontics PA DRS. Fred & Rebecca Bye
• Antietam Urosurgical Center LLC ASC
• Lauryn Antolock
• Constance Adams Anton, MD
• Samina Anwar, MD
• Chuks Anyameluhor, M.B.B.S

• Surgery Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.