Jacob M Chacko, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

047726 Issued in VA

Practice address

Augusta Medical Center Anesthesia Dept
78 Medical Center Drive
Fishersville, VA 22939

Phone

(540) 427-4406

Fax

(540) 427-4915

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1922036094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890580",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890580",
            "telephone_number": "540-427-4406",
            "fax_number": "540-427-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AUGUSTA MEDICAL CENTER ANESTHESIA DEPT",
            "address_2": "78 MEDICAL CENTER DRIVE",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "22939",
            "telephone_number": "540-427-4406",
            "fax_number": "540-427-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "047726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922036094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra J. Catchings, D.D.S.
• Megan Anne Cather, RDN
• Briana M Cattafesta, CNM
• David Whitney Caulkins, M.D.
• Jessica Margaret Cave, FNP-C
• James Bickford Chadduck, MD
• Madison Chapman, PA-C
• Meenakshi J Chavan, FNP
• Lilly Chawla, PA-C
• Sarah Chhabra, MD

• Anesthesiology Physician in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.