MARY ANN CHAVEZ DO
NPI 1578633194
Family Medicine in Sullivan, IN

Active since November 09, 2006
1120 N SECTION ST, SULLIVAN MEDICAL CLINIC, SULLIVAN, IN 47882(812) 268-3901(812) 268-0674 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ann Chavez Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANN CHAVEZ DO (NPI 1578633194) is an individual family medicine provider in Sullivan, Indiana, licensed in Indiana (02002313A) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1578633194
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY ANN CHAVEZCredential: DO
Location Address1120 N SECTION ST, SULLIVAN MEDICAL CLINICSullivan, IN 47882-9200
Mailing Address1120 N Section St, Sullivan Medical ClinicSullivan, IN 47882-9200 · (812) 268-3901 · Fax (812) 268-0674
Fax(812) 268-0674
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateJanuary 31, 2013
NPI 1578633194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02002313A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1120 N SECTION ST, Sullivan, IN 47882

Other Identifiers 3

Medicare PIN179820IN
Medicare UPING06963
Medicaid200343440IN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
1120 N SECTION ST, SULLIVAN MEDICAL CLINIC
SULLIVAN, IN 47882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Chavez's NPI number?

The NPI number for Mary Chavez is 1578633194. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Mary Chavez located?

Mary Chavez practices at 1120 N Section St Sullivan Medical Clinic, Sullivan, IN 47882. The listed phone number is (812) 268-3901.

What is Mary Chavez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Chavez was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.