Individual provider Active NPI

Victoria Lindstrom Chase, MD

  • Obstetrics & Gynecology Physician
  • New Haven, CT
National Provider Identifier
1659614667
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
56419 Issued in CT
Practice address
PO Box 208063
New Haven, CT 06520-8063
Phone
(203) 785-2671
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 56419 CT Primary

Addresses

Primary practice location

PO Box 208063
New Haven, CT 06520-8063

Mailing address

PO Box 208063
New Haven, CT 06520-8063

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20200917000687 UT Practitioner - Obstetrics/Gynecology 5294037099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-8879

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Aug 1, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology PastSince Aug 1, 2004 Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

98 N 1100 E
Ste 402
American Fork, UT 84003
Phone (801) 492-2320

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

1350 N 500 E
North Logan, UT 84341
Phone (435) 716-2800

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

4401 Harrison Blvd
Ste 4600
Ogden, UT 84403
Phone (801) 387-4647

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3723 W 12600 S
Ste 350
Riverton, UT 84065
Phone (801) 285-4730

5121 S Cottonwood St
Ste 130
Salt Lake City, UT 84107
Phone (801) 507-7400

5121 S Cottonwood St
Ste 100
Salt Lake City, UT 84107
Phone (801) 507-7400

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659614667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208063",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 208063",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208063",
            "telephone_number": "203-785-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "VICTORIA",
        "middle_name": "LINDSTROM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "56419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.