JIRAYOS CHINTANADILOK (NPI# 1568469062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568469062 |
| Entity Type | Organization |
| Organization Name | JIRAYOS CHINTANADILOK |
| Other Organization Name | EVEREST MEDICAL CARE |
| Practice Address |
4296 5th Ave Marianna FL 32446-2173 |
| Practice Telephone | 8504822061 |
| Practice Fax Number | 8504826617 |
| Mailing Telephone | 8504822061 |
| Mailing Fax Number | 8504826617 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JIRAYOS CHINTANADILOK (M.D. (OWNER)) |
| Authorized Official Telephone | 8504822061 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME77246 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME77246 | FL | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME77246 | FL | Allopathic & Osteopathic Physicians |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP1903302 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | ME27861 | FL | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101074 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269074800 | 05 |
| Other Name | Type Code |
|---|---|
| Everest Medical Care | Doing Business As Name - Organization |
| Street Address |
4296 5TH AVE |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-2173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508379751 | Kristin G Fenton | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2017-11-09 |
| 1306230164 | Brittany Lynne Melville | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2015-03-19 |
| 1417296914 | Mary E Maldonado | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2013-02-05 |
| 1134443484 | Holly Jo Sims | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2010-03-16 |
| 1265691331 | Robert Michael Hall | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2008-06-04 |
| 1033174594 | Everest Medical Care P A | Internal Medicine | 4296 5th Ave, Marianna, FL 32446-2173 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225184930 | Marianna Medical Associates Inc | Family Medicine | 4349 Lafayette St, Marianna, FL 32446-2915 | 2007-01-26 |
| 1073693701 | Marianna Family Medicine Clinic Pllc | Family Medicine | 29 West Tennessee Street, Marianna, AR 72360 | 2006-10-17 |
| 1699720367 | Mark R Akerson | Family Medicine | 4284 Kelson Ave, Marianna, FL 32446-2948 | 2006-05-23 |
| 1295713659 | Richard C Goff | Family Medicine | 3031 6th St, Marianna, FL 32446-1930 | 2006-01-05 |
| 1124013925 | Susan Wanda Balke | Family Medicine | 171 Cherry St, Marianna, AR 72360-1938 | 2005-09-18 |
| 1245599828 | Marianna Family Care Center, LLC | Family Medicine | 2928 Daniels St, Marianna, FL 32446-2912 | 2012-05-16 |
| 1376777029 | Richard C. Goff, M.d. | Family Medicine | 3031 6th St, Marianna, FL 32446-1930 | 2009-05-11 |
| 1245491380 | Harry Andre Michel | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2008-06-20 |
| 1598930679 | Panhandle Family Care Associates Inc | Family Medicine | 4284 Kelson Ave, Marianna, FL 32446-2948 | 2008-04-29 |
| 1346430980 | Linda F Collins | Family Medicine | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-07-30 |
| Find all providers in MARIANNA | ||||
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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.