Chilson Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD419105 Issued in PA

Legal business name

CHILSON CLINIC PC

Practice address

1 Kim Ave Ste 4
Tunkhannock, PA 18657-9101

Phone

(570) 836-4400

Fax

(570) 836-4440

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Terrance Scott Chilson, M.D.

Title

President

Phone

(570) 836-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Grimaud-Chilson, M.D.

  • Pediatrics Physician
  • Tunkhannock, PA
  • NPI 1285740225
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1700852613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 4",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-4400",
            "fax_number": "570-836-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KIM AVE STE 4",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579101",
            "telephone_number": "570-836-4400",
            "fax_number": "570-836-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILSON CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "CHILSON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-836-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD419105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014661730001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Dawn Campbell, RN
• Carbonite Emergency Physicians, LLC
• Change of Heart Counseling and Consultation Services, Inc (Alishia Allegrucci, LCSW)
• Cheryl a Stone MD
• Children's Service Center of Wyoming Valley Inc
• Chiropractic & Rehab Associates, P.C.
• Amy M Clark, LCSW
• Heidi Marie Clark, D.O.
• Rachel Clark
• Danielle Connell, LPC

• Internal Medicine Physician in Tunkhannock, PA
• Providers in Tunkhannock, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.