Chase Medical Center PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

005449 Issued in AZ

Legal business name

CHASE MEDICAL CENTER PLLC

Practice address

3191 Stillwater Dr
Suite B
Prescott, AZ 86305-7143

Phone

(928) 445-7085

Fax

(928) 445-7095

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Robyn Nicole Chase, D.O.

Title

Manager

Phone

(928) 445-7085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1609174341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 STILLWATER DR",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057143",
            "telephone_number": "928-445-7085",
            "fax_number": "928-445-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 STILLWATER DR",
            "address_2": "SUITE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057143",
            "telephone_number": "928-445-7085",
            "fax_number": "928-445-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-445-7085",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "005449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529404",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chapter 5 Counseling Center LLC.
• Chapter 5 Counseling Center, LLC
• Chapter 5 Counseling Center, LLC
• Chapter 5 Counseling Center, LLC
• Chapter 5 Recovery
• Robyn Nicole Chase, DO
• Deborah Kaye Chatel, PH.D.
• Rebecca Chatfield, ND
• Ann E Chavez, LCSW
• Katherine J Cheeves, MD

• Internal Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.