Derek B Chism, MD
Healthcare Provider in Peabody, Massachusetts
1760584130- Practice location
- 17 Centennial Dr Radiation Oncology, Peabody, MA 01960
- Phone
- 978-977-9400
- Fax
- 978-538-0341
- Last updated
- July 8, 2007
Derek Barrett Chism is a Healthcare Provider based in Peabody, MA. Derek Barrett Chism practices in Peabody, MA and has the professional credentials of MD. The NPI Number for Derek Barrett Chism is 1760584130 and holds a License No. 220136 (MA). The current practice location address for Derek Barrett Chism is 17 Centennial Dr Radiation Oncology, Peabody, MA 01960 and can be reached out via phone at 978-977-9400 and via fax at 978-538-0341.
Provider Profile Details
- NPI Number
- 1760584130
- Provider Name
- Derek Barrett Chism
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Centennial Dr Radiation Oncology, Peabody, MA 01960
- Phone Number
- 978-977-9400
- Fax Number
- 978-538-0341
- Primary Taxonomy
- Healthcare Provider · 2085R0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 5, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Centennial Dr Radiation Oncology
Peabody, MA 01960 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960
- Phone Number
- 978-977-9400
- Fax Number
- 978-538-0341
Provider Business Mailing Address Details
- Address
- North Shore Health Systems
81 Highland Ave
Salem, MA 01970 - City
- Salem
- State
- MA
- Zip
- 01970
- Phone Number
- 978-354-4173
License Information
- License Number
- 220136
- License State
- MA
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 Derek B Chism, MD?
The NPI number of Derek B Chism, MD is 1760584130. It was assigned on September 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Derek B Chism, MD?
Derek B Chism, MD is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in MA under license number 220136.
Where does Derek B Chism, MD practice?
The practice location is 17 Centennial Dr Radiation Oncology, Peabody, MA 01960. The office can be reached at 978-977-9400 (phone) or 978-538-0341 (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 1760584130 directly on the NPPES registry website.