JIRAYOS CHINTANADILOK NPI 1568469062

NPI Information

NPI: 1568469062
Provider Name: JIRAYOS CHINTANADILOK

Doing Business As: EVEREST MEDICAL CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4296 5TH AVE
MARIANNA, FL
ZIP 32446
Phone: (850) 482-2061
Get Directions

JIRAYOS CHINTANADILOK is a family medicine in Marianna, FL. The provider is 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. JIRAYOS CHINTANADILOK NPI is 1568469062. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Everest Medical Care.

The provider's business location address is:

4296 5TH AVE
MARIANNA, FL
ZIP 32446-173
Phone: (850) 482-2061
Fax: (850) 482-6617

The provider's authorized official is Jirayos Chintanadilok .
The authorized official title is M.d. (owner) and has the following contact phone number (850) 482-2061.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 8/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		ME77246	FLORIDA	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	ME77246	FLORIDA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	ME77246	FLORIDA	No
4	363LP2300X	Nurse Practitioner	Primary Care	ARNP1903302	FLORIDA	No
5	363LG0600X	Nurse Practitioner	Gerontology	ARNP	FLORIDA	No
6	363AM0700X	Physician Assistant	Medical	PA9101074	FLORIDA	No
7	207Q00000X	Family Medicine		ME27861	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	74569	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	269074800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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