DR. CHOWALLUR DEV CHACKO (NPI# 1265432686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265432686 |
| Entity Type | Individual |
| Full Name | DR. CHOWALLUR DEV CHACKO |
| Credential | M.D. |
| Practice Address |
2718 N Orange Ave Suite C Orlando FL 32804-7611 |
| Practice Telephone | 4078942664 |
| Practice Fax Number | 4078942450 |
| Mailing Telephone | 4078942664 |
| Mailing Fax Number | 4078942450 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-27 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0034022 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | ME0034022 | 01 |
| Street Address |
2718 N ORANGE AVE SUITE C |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043480072 | Julie M Hurtado Castro | Pediatrics | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2008-03-05 |
| 1255535902 | Arnel Aviles Uy | Pediatrics | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2007-06-14 |
| 1164556312 | Tanvi Kamdar | Pediatrics | 2718 N Orange Ave, Suite C, Orlando, FL 32804-7611 | 2007-03-16 |
| 1437220639 | Diana Waltraud Morgan-fuchs | Nurse Practitioner | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2006-11-11 |
| 1285713933 | Sharon E Craig | Nurse Practitioner | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2006-11-03 |
| 1417993874 | Yansmith Ambroise | Pediatrics | 2718 N Orange Ave, Suite C, Orlando, FL 32804-7611 | 2006-06-22 |
| 1265476527 | Thomas E Wiswell | Pediatrics | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2006-06-16 |
| 1265476667 | Lewis Otero | Pediatrics | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2006-06-15 |
| 1457395865 | David James Rawlings | Pediatrics | 2718 N Orange Ave, Suite B, Orlando, FL 32804-7611 | 2006-06-15 |
| 1699722785 | Rajan Wadhawan | Pediatrics | 2718 N Orange Ave, Suite C, Orlando, FL 32804-7611 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.