Chester Z. Haverback, M.D., Chartered

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D05089 Issued in MD

Legal business name

CHESTER Z. HAVERBACK, M.D., CHARTERED

Practice address

8218 Wisconsin Avenue
#320
Bethesda, MD 20814

Phone

(301) 657-4747

Fax

(301) 657-9065

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chester Z. Haverback, M.D., M.D.

Title

President/Owner

Phone

(301) 657-4747

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1790940997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVENUE",
            "address_2": "#320",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-657-4747",
            "fax_number": "301-657-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVENUE",
            "address_2": "#320",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-657-4747",
            "fax_number": "301-657-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER Z. HAVERBACK, M.D., CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "HAVERBACK, M.D.",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "301-657-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D05089",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD25318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesapeake Clinical Services, P.C.
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• Gregory Thomas Chesnut, M.D.
• Bruce David Cheson, MD
• Brendan Chetty, DMD
• Elizabeth Cheuk, LSW
• Clayton Cheung, D.D.S.
• Ida Cheung, CRNA
• Ferrene Cheutchoua Siegha

• Plastic Surgery Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.