Chaffee Diagnostics LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

E3907 Issued in AR

Legal business name

CHAFFEE DIAGNOSTICS LLC

Practice address

11300 Roberts Blvd
Fort Smith, AR 72916-6027

Phone

(479) 434-6205

Fax

(479) 434-6210

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

William J Hayes, MD

Title

Chief of Staff

Phone

(479) 434-5295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1649715681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 ROBERTS BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166027",
            "telephone_number": "479-434-6205",
            "fax_number": "479-434-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 ROBERTS BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166027",
            "telephone_number": "479-434-6205",
            "fax_number": "479-434-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAFFEE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "479-434-5295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AR",
            "license": "E3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ceres Strategies Medical Services, LLC
• Amber Cervantes, LPC,LMFT
• Wayne Chaddock, RPT
• Amanda N Chadwick
• Hillary Chadwick
• Chaffee Pharmacy Inc.
• Kaleah Chaffin
• Donald Chambers, M.D.
• Harrison Chambers
• Kelby Chambers, MS, ATC, LAT

• Radiology Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Radiology Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.