Jennifer L Chilek, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L8307 Issued in TX

Practice address

19782 Highway 105 W
Suite 111
Montgomery, TX 77356-5632

Phone

(936) 582-0220

Fax

(936) 582-0222

NPI assigned

Jun 10, 2006

Last updated

Sep 5, 2012By the provider in NPPES

Sex

Female

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 TX

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 Medicine

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.

• Jennifer L Chilek MD PA

  dba Stone Creek Family Medicine

  • Family Medicine Physician
  • Montgomery, TX
  • NPI 1659560852
  Authorized official Same address or phone
• Stone Creek Family Medicine PLLC

  • Family Medicine Physician
  • Montgomery, TX
  • NPI 1467779454
  Authorized official Same address or phone
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1609817436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W",
            "address_2": "SUITE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565632",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19782 HIGHWAY 105 W",
            "address_2": "SUITE 111",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565632",
            "telephone_number": "936-582-0220",
            "fax_number": "936-582-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILEK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A. Chaplin, D.C.
• Chca Conroe LP (HCA Houston Conroe - Lake Area Imaging)
• Chca Conroe, L.P. (Lake Area Imaging and Diagnostics, a department of HCA Houston Healthcare Conroe)
• Debra Kay Chevalier, C.R.N.A.
• Christi Lynn Childers
• Chiropractic Wellness & Nutrition, LLC
• Alina Chrosniak, PT, DPT
• Clara Vista Eyecare
• Charles Warren Clark Jr., LMT
• Caroline Elizabeth Clarke, MD

• Family Medicine Physician in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.