EDWARD B MARTIN - CHAFEE MD NPI 1295728848

NPI Information

NPI: 1295728848
Provider Name: EDWARD B MARTIN - CHAFEE, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
1200 SIXTH AVE N
ST CLOUD, MN
ZIP 56303
Phone: (320) 251-2700
Get Directions

Edward B Martin - Chafee, MD is a pediatric cardiology pediatrics in St Cloud, MN with 37 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Edward B Martin - Chafee, MD NPI is 1295728848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1987

The provider's business location address is:

1200 SIXTH AVE N
ST CLOUD, MN
ZIP 56303-735
Phone: (320) 251-2700
Fax: (320) 240-2118

The NPI 1295728848 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 8/30/2005 and was last updated on 3/23/2015.

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
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	34891	MINNESOTA	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	34891	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4700063P	OTHER		MEDICA HEALTH PLANS
2	074563400	MEDICAID	MINNESOTA
3	370001860	MEDICARE PIN	MINNESOTA
4	690476	OTHER		FIRST HEALTH PLAN
5	HP20318	OTHER		HEALTH PARTNERS
6	074563400	OTHER		MEDICAL ASSISTANCE (MA)
7	115598	OTHER		U-CARE
8	1207854	OTHER		MEDICA HEALTH PLANS
9	90051	OTHER		ARAZ GROUP/AMERICA'S PPO
10	F73453	MEDICARE UPIN
11	1012096	OTHER		PREFERRED ONE
12	51G94MA	OTHER		BLUE CROSS BLUE SHIELD
13	370015977	OTHER		RR MEDICARE
14	CQ2388	OTHER		RR MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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