Individual provider Active NPI

Victor Eduardo Pascual Chagman, MD

  • Family Medicine Physician
  • Purcell, OK
National Provider Identifier
1598922908
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27435 Issued in OK
Practice address
1401 N 4TH Ave
Suite 100
Purcell, OK 73080-1806
Phone
(405) 527-1075
Fax
(405) 527-1077
NPI assigned
May 22, 2008
Last updated
Jan 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17161 PR
Family Medicine Physician 207Q00000X 27435 OK Primary
Family Medicine Physician 207Q00000X 0101245934 VA

Addresses

Primary practice location

1401 N 4TH Ave
Suite 100
Purcell, OK 73080-1806

Mailing address

9777 N Council Rd
Apt 725
Oklahoma City, OK 73162-5500
Phone (405) 527-1075

Other identifiers 1

IdentifierTypeStateIssuer
200253300AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100716000266 OK Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Gastroenterology 0042366338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4336 NW 23Rd St
Oklahoma City, OK 73107-2642
Phone (405) 601-9888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17161PRMDFamily Medicine Physician
0101245934VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V & B Family Clinic Family Medicine CurrentSince Feb 1, 2010 Accepting new patients

Locations

4336 NW 23rd St
Oklahoma City, OK 73107
Phone (405) 527-1075

1401 N 4th Ave
Ste 100
Purcell, OK 73080
Phone (405) 527-1075

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1598922908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 N COUNCIL RD",
            "address_2": "APT 725",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731625500",
            "telephone_number": "405-527-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 4TH AVE",
            "address_2": "SUITE 100",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730801806",
            "telephone_number": "405-527-1075",
            "fax_number": "405-527-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL CHAGMAN",
        "first_name": "VICTOR",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "17161",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27435",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101245934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200253300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcell, OK

Sources for this page

Verify at the official NPI Registry.