Provider Demographics
NPI:1649665738
Name:CHAVEZ, MARY REBECCA JANE (MD)
Entity type:Individual
Prefix:DR
First Name:MARY REBECCA JANE
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE STE 370
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2535
Mailing Address - Country:US
Mailing Address - Phone:615-769-2799
Mailing Address - Fax:615-769-2798
Practice Address - Street 1:145 HOSPITAL AVE STE 313
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1465
Practice Address - Country:US
Practice Address - Phone:814-375-4000
Practice Address - Fax:814-375-4011
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD478851208600000X
PAMF4788512086S0102X
WI840442086S0102X
TN742512086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care