Jason Chen, M.D.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Daytona Beach, FL
NPI 1831539923 · NPPES record last updated Jul 18, 2018
Key facts
- NPI
- 1831539923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- ME136426 (FL)
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-3523
- NPI assigned
- Jul 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Coast Pathology of Florida, PA
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-3523
Hospital & facility affiliations
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Adventhealth Palm Coast Parkway
- Adventhealth New Smyrna Beach
- Halifax Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181011000440 | FL | Practitioner - Pathology | 7113161779 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients | |
| East Coast Pathology of Florida, PA | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME136426 | FL | Yes |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
627 Emory Oak CT
Knoxville, TN 37909-3440
Phone (214) 714-5289
Other practice location 1
627 Emory Oak Ct
Knoxville, TN 37909-3440
Phone (214) 714-5289
Other providers in Daytona Beach, FL
- Elizabeth Chase
- Areeb Chaudhry
- Rajesh Chawla
- Nejla Hanan Chehab
- Jane L Chen
- Jerry Cherisien
- Boon Yee Chew
- Dominic James Chiappetta
- Abednego Chibungu
- Kelley Dianne Chick
All providers in Daytona Beach, FL · Anatomic Pathology & Clinical Pathology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.