JEROLD NORMAN CHIP I (NPI# 1891929063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891929063 |
| Entity Type | Individual |
| Full Name | JEROLD NORMAN CHIP I |
| Credential | MD |
| Practice Address |
206 N Florida Ave Lakeland FL 33801-4902 |
| Mailing Address |
1395 Nw 167th St Miami Gardens FL 33169-5742 |
| Practice Telephone | 8632097003 |
| Practice Fax Number | 8632843083 |
| Mailing Telephone | 3058314761 |
| Mailing Fax Number | 3058314761 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301094726 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME123575 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01019735A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
206 N FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821193772 | Benroe W Blount | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2006-09-14 |
| 1164916417 | Christopher David Berrezueta Reinoso | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2018-06-20 |
| 1871020297 | Jeffrey Douglas Laman | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2017-05-16 |
| 1689106965 | Christine Fechter | Nurse Practitioner | 206 N Florida Ave, Lakeland, FL 33801 | 2017-03-28 |
| 1407218043 | Chen Neighborhood Medical of North Lakeland, LLC | Non-Pharmacy Dispensing Site | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-03-23 |
| 1326408477 | Eduardo D Ramirez De Arellano Gonzalez | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-03-02 |
| 1053779173 | Janmary Figueroa | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2016-02-03 |
| 1679998835 | Nichole Didley | Podiatrist | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2014-02-25 |
| 1710273743 | Faisel Ali Syed | Family Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2011-06-28 |
| 1669790853 | Melanie C Letobarone | Internal Medicine | 206 N Florida Ave, Lakeland, FL 33801-4902 | 2010-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065543 | Uzi Talit | Internal Medicine | 3647 Innovation Dr, Lakeland, FL 33812-4106 | 2006-06-26 |
| 1255303947 | Sean Patrick O' Rourke | Internal Medicine | 1527 Eagle Ridge Dr, Lakeland, FL 33813-5680 | 2006-02-06 |
| 1588668156 | Sami K Baddoura | Internal Medicine | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 | 2005-06-10 |
| 1679092050 | Jessica Polk | Internal Medicine | 130 Pablo St, Lakeland, FL 33803-3818 | 2017-09-16 |
| 1841627791 | Manubens Comprehensive Clinic LLC | Internal Medicine | 4315 Highland Park Blvd, Suite A, Lakeland, FL 33813-1639 | 2013-10-07 |
| 1134474539 | Gloria A Ayuba | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2012-07-21 |
| 1265702120 | Florida Heart & Vascular Specialists Pa | Internal Medicine | 1417 Lakeland Hills Blvd, Suite 106, Lakeland, FL 33805-3200 | 2012-01-10 |
| 1982816922 | Rajesh Lall | Internal Medicine | 3647 Innovation Dr, Lakeland, FL 33812-4106 | 2007-05-03 |
| 1518188861 | Jeffrey L Williams | Internal Medicine | 130 Pablo St, Lakeland, FL 33803-3818 | 2007-05-02 |
| 1386694271 | Kathleen Helen Galatro | Internal Medicine | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-05-11 |
| Find all providers in LAKELAND | ||||
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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.