Provider Demographics
NPI:1174667521
Name:KESSLER, CHAD S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:S
Last Name:KESSLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6035 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3256
Mailing Address - Country:US
Mailing Address - Phone:704-295-3000
Mailing Address - Fax:
Practice Address - Street 1:200 S HERLONG AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3399
Practice Address - Country:US
Practice Address - Phone:803-328-1864
Practice Address - Fax:803-328-1865
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01044207Y00000X
SC29842207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC199076OtherMEDCOST
NC5909055Medicaid
SC20077073OtherSELECT HEALTH OF SC
NC2687OtherEVOLUTIONS
SC7129923OtherAETNA
NC14512OtherBCBS
SCP00603838OtherRAILROAD MEDICARE
SC1174667521OtherBCBS SC
NC2153876OtherCIGNA
SC298421Medicaid
NC2687OtherEVOLUTIONS
SC298421Medicaid
SCP00603838OtherRAILROAD MEDICARE