Paul D Chidester MD Et Al

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PAUL D CHIDESTER MD ET AL

Practice address

300 Medical Pkwy
Suite 306
Chesapeake, VA 23320-4985

Phone

(757) 410-8791

Fax

(757) 410-8783

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Paul D Chidester, MDNPI 1508865189

Title

Owner

Phone

(757) 436-6959

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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

• Paul Donald Chidester, MD

  • Nephrology Physician
  • Chesapeake, VA
  • NPI 1508865189
  NPD (past) Authorized official

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912928011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PKWY",
            "address_2": "SUITE 306",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204985",
            "telephone_number": "757-410-8791",
            "fax_number": "757-410-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D CHIDESTER MD ET AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIDESTER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-436-6959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "194475",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7660794",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "319574",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA  OPTIMA",
            "identifier": "15097",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L Raymond, M.D., PLLC
• Patrick R. Grube DDS PC
• Imani Omar Patterson
• Latricia A Patterson
• Marialaura C Paucar, NP
• Paul E. Prillaman, III, DDS, PLC
• Paul R. Letellier, DDS
• Katherine Sue Paul, NP
• Paula G. Gravitt, LLC
• Michelle Marie Paulsen, D.O.

• Nephrology Physician in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.