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NPI Code Detail

MEDICARE: DR. LINDA K CHASE M.D.

MEDICARE: DR. LINDA K CHASE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician11363ND
22080N0001XNeonatal-Perinatal Medicine Physician74806TN
32080N0001XNeonatal-Perinatal Medicine PhysicianME54575FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215993365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA K CHASE M.D.
Provider Business Mailing Address
First Line : 1538 OQUINN RD
Second Line :
City : POLLOK
State : TX
Zip : 75969-4247
Country : US
Telephone Number : 701-509-3735
Fax Number : 701-509-3735
Provider Business Practice Location Address
First Line : 9352 PARK WEST BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4325
Country : US
Telephone Number : 865-373-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 08/12/2025

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