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DR. JERRY WAYNE CHANDLER D.O. NPI 1598739856


NPI Information

NPI: 1598739856
Provider Name: DR. JERRY WAYNE CHANDLER, D.O.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: ASHCHI HEART AND VASCULAR CENTER PA

PECOS Registration: Yes

Address:
2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214
Phone: (904) 542-7608
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DR. Jerry Wayne Chandler, D.O. is a cardiovascular disease internal medicine in Jacksonville, FL with 23 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Jerry Wayne Chandler, D.O. NPI is 1598739856. 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:

2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214-005
Phone: (904) 542-7608

The NPI 1598739856 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 2/14/2006 and was last updated on 10/29/2014.


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
1207R00000XInternal Medicine0102201507VIRGINIANo
2207RC0000XInternal MedicineCardiovascular Disease0102201507VIRGINIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.