Regina S Chennault MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

5170 Issued in AK

Legal business name

REGINA S CHENNAULT MD PC

Practice address

2841 Debarr Road
Suite 42
Anchorage, AK 99508-2956

Phone

(907) 264-1204

Fax

(907) 264-1995

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Regina S Chennault, MDNPI 1073572798

Title

MD

Phone

(907) 264-1204

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, and the practitioner matching its NPPES authorized official.

• Regina Sutton Chennault, MD

  • Surgery Physician
  • Anchorage, AK
  • NPI 1073572798
  NPD (past) Authorized official

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1780867978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 DEBARR ROAD",
            "address_2": "SUITE 42",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082956",
            "telephone_number": "907-264-1204",
            "fax_number": "907-264-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 DEBARR ROAD",
            "address_2": "SUITE 42",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082956",
            "telephone_number": "907-264-1204",
            "fax_number": "907-264-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA S CHENNAULT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "CHENNAULT",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "907-264-1204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AK",
            "license": "5170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD8085",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennassy Grace Regal
• Matthew Regan
• Hari Z Regen, MD
• Reger Enterprises, LLC
• Cortland Reger
• Jane Eve Registe
• Rehabilitation & Sports Medicine, LLC
• Rehabilitation Medicine Associates (Alaska Spine Institute)
• Karrie Lynn Rehe
• Kristin Rehmann, LCSW

• Surgery Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.