Dr. John V Chisholm III, MD
Family Medicine, Addiction Medicine in Worcester, Massachusetts
1366731150- Practice location
- 5 Neponset St, Worcester, MA 01606
- Phone
- 508-595-2300
- Fax
- 508-853-5226
- Last updated
- January 4, 2019
John Valentine Chisholm is a Family Medicine, Addiction Medicine based in Worcester, MA. John Valentine Chisholm practices in Worcester, MA and has the professional credentials of MD. The NPI Number for John Valentine Chisholm is 1366731150 and holds a License No. 042-0012873 (VT). The current practice location address for John Valentine Chisholm is 5 Neponset St, Worcester, MA 01606 and can be reached out via phone at 508-595-2300 and via fax at 508-853-5226.
Provider Profile Details
- NPI Number
- 1366731150
- Provider Name
- John Valentine Chisholm
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Neponset St, Worcester, MA 01606
- Phone Number
- 508-595-2300
- Fax Number
- 508-853-5226
- Primary Taxonomy
- Family Medicine, Addiction Medicine · 207QA0401X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2011
- Last Update Date
- January 4, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Neponset St
Worcester, MA 01606 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606
- Phone Number
- 508-595-2300
- Fax Number
- 508-853-5226
Provider Business Mailing Address Details
- Address
- 5 Neponset St
Worcester, MA 01606-2714 - City
- Worcester
- State
- MA
- Zip
- 01606-2714
- Phone Number
- 508-595-2300
- Fax Number
- 508-853-5226
License Information
- License Number (1)
- 042-0012873
- License State (1)
- VT
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 277524
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine, Addiction Medicine · 207QA0401X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. John V Chisholm III, MD?
The NPI number of Dr. John V Chisholm III, MD is 1366731150. It was assigned on April 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. John V Chisholm III, MD?
Dr. John V Chisholm III, MD is registered under the primary taxonomy Family Medicine, Addiction Medicine (code 207QA0401X), licensed in VT under license number 042-0012873.
Where does Dr. John V Chisholm III, MD practice?
The practice location is 5 Neponset St, Worcester, MA 01606. The office can be reached at 508-595-2300 (phone) or 508-853-5226 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366731150 directly on the NPPES registry website.