Everest Medical Care
LBN: Jirayos Chintanadilok
Everest Medical Care is an health care organization with primary practice located at 4296 5Th Ave , Marianna FL 32446-2173. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jirayos Chintanadilok can be contacted via phone (850) 482-2061, or through Chintanadilok, Jirayos via phone (850) 482-2061.
Contact Information
Primary practice address
4296 5Th Ave
Marianna FL 32446-2173
Phone: (850) 482-2061
Fax: (850) 482-6617
Website:
Authorized official contact:
Name: Chintanadilok, Jirayos Doctor of Medicine (MD)
Phone: (850) 482-2061
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME27861 | Florida |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME77246 | Florida |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ME77246 | Florida |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME77246 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9101074 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | ARNP | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP1903302 | Florida |
Profile Details
NPI number | 1568469062 |
---|---|
LBN Legal business name | Jirayos Chintanadilok |
DBA Doing business as | Everest Medical Care |
Authorized official | Chintanadilok, Jirayos Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Aug 4th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568469062 | NPPES |
Florida | MEDICAID | 269074800 |
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