Individual provider Active NPI

Justin Chandler, MD

  • Neurology Physician
  • Danville, PA
National Provider Identifier
1750657599
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD469077 Issued in PA
Practice address
100 N Academy Ave
Danville, PA 17822-7049
Phone
(570) 271-6472
Fax
(570) 271-5874
NPI assigned
Mar 27, 2012
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 10301045-1205 UT
Neurology Physician 2084N0400X MD469077 PA Primary

Addresses

Primary practice location

100 N Academy Ave
Danville, PA 17822-7049

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170612000272 MO Practitioner - Neurology 7810282365 Reassigns benefits to 2 organizations
I20191114002473 PA Practitioner - Neurology 7810282365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, shared by 7 NPIs, 3,432 clinicians
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6541

229 NE Hidden Ridge Cir
Lees Summit, MO 64064-1281
Phone (570) 271-6144

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD469077PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Oct 4, 2024 Accepting new patients
New Liberty Hospital Corporation CurrentSince Oct 4, 2024 Accepting new patients
Geisinger Clinic Neurology CurrentSince Jan 10, 2023 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Nov 18, 2019 Accepting new patients
New Liberty Hospital Corporation Family Medicine Current Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Nov 18, 2019 Accepting new patients
Cass Regional Medical Center Past Accepting new patients

Locations

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 108
Liberty, MO 64068
Phone (816) 781-3515

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

100 N Academy Ave
Danville, PA 17822

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

Interoperability endpoints

  • Direct secure messaging: jchandler234881@direct.geisinger.edu
  • Direct secure messaging: justin.chandler@hca2.eclinicaldirectplus.com
  • Direct secure messaging: justin.chandlermd.p6@direct.nlhc.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1750657599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178227049",
            "telephone_number": "570-271-6472",
            "fax_number": "570-271-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "10301045-1205",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD469077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.