Provider Demographics
NPI:1497104426
Name:MCMASTER, CHELSEA COOL (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:COOL
Last Name:MCMASTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CHELSEA
Other - Middle Name:KAY
Other - Last Name:COOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:225 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRESTON
Mailing Address - State:MD
Mailing Address - Zip Code:21655-2215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:225 MAIN ST
Practice Address - Street 2:
Practice Address - City:PRESTON
Practice Address - State:MD
Practice Address - Zip Code:21655-2215
Practice Address - Country:US
Practice Address - Phone:410-754-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058305363AM0700X
MDC0007190363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical