Nathan Chaclas
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
Details
- NPI
- 1962297010
- Entity type
- Individual (NPI-1)
- Name
- Nathan Chaclas
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2025
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
111 S 11th StPhiladelphia, PA 19107-4870
Phone 215-955-6000
Mailing address
111 S 11th StPhiladelphia, PA 19107-4870
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 4,293 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All 53,595 providers in Philadelphia
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