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ANTIETAM SURGEONS CHARLES R CHANEY MD PA NPI 1588770465


NPI Information

NPI: 1588770465
Provider Name: ANTIETAM SURGEONS CHARLES R CHANEY MD PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
363 S CLEVELAND AVE
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 791-4866
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ANTIETAM SURGEONS CHARLES R CHANEY MD PA is a surgery in Hagerstown, MD. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ANTIETAM SURGEONS CHARLES R CHANEY MD PA NPI is 1588770465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

363 S CLEVELAND AVE
HAGERSTOWN, MD
ZIP 21740-747
Phone: (301) 791-4866
Fax: (301) 791-1297

The provider's authorized official is Charles R Chaney .
The authorized official title is President Antietam Surgeons and has the following contact phone number (301) 791-4866.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 10/19/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryD0014398MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11388590OTHERMARYLANDCIGNA
2213667OTHERMARYLANDMDIPA
3K442MEDICARE PINMARYLAND
4K4820001OTHERMARYLANDBLUECHOICE
5D70339MEDICARE UPIN

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: 4/28/2024

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