MR. JASON SCOTT CHASTAIN PA-C NPI 1174893465

NPI Information

  • NPI: 1174893465
  • Provider Name: MR. JASON SCOTT CHASTAIN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 901 W WALL ST
    SUITE101
    GRAPEVINE, TX
    ZIP 76051
  • Phone: (817) 488-6669

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NPI Details

MR. Jason Scott Chastain, PA-C is a medical physician assistant in Grapevine, TX. MR. Jason Scott Chastain, PA-C NPI is 1174893465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 W WALL ST
SUITE101
GRAPEVINE, TX
ZIP 76051-419
Phone: (817) 488-6669
Fax: (817) 488-6671

The NPI 1174893465 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 6/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA02577TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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