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REGINA S CHENNAULT MD PC NPI 1780867978


NPI Information

NPI: 1780867978
Provider Name: REGINA S CHENNAULT MD PC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
2841 DEBARR ROAD
SUITE 42
ANCHORAGE, AK
ZIP 99508
Phone: (907) 264-1204
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REGINA S CHENNAULT MD PC is a surgery in Anchorage, AK. 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. REGINA S CHENNAULT MD PC NPI is 1780867978. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2841 DEBARR ROAD
SUITE 42
ANCHORAGE, AK
ZIP 99508-956
Phone: (907) 264-1204
Fax: (907) 264-1995

The provider's authorized official is Regina S Chennault .
The authorized official title is Md and has the following contact phone number (907) 264-1204.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.


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
1208600000XSurgery5170ALASKAYes

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
1F91164MEDICARE UPIN
2MD8085MEDICAIDALASKA
3R152722MEDICARE PIN

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

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