Jerold N Chip (NPI# 1891929063, PAC ID# 2769534825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891929063 |
| PAC ID by PECOS | 2769534825 |
| Professional Enrollment ID | I20160628003019 |
| Full Name | Jerold N Chip |
| Organization Legal Name | DIEGO FALLON INC |
| Address |
117 W Bay St Wauchula FL 33873-3135 |
| Phone Number | 8637734700 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1962 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6901802149 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 101300 | FLORIDA HOSPITAL WAUCHULA |
| 100109 | FLORIDA HOSPITAL HEARTLAND MEDICAL CENTER |
| 100175 | DESOTO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 117 W Bay St, Wauchula, FL 33873-3135 | 8637734700 | DIEGO FALLON INC |
| Organization Legal Name | DIEGO FALLON INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A. Villarete | Nurse Practitioner | Diego Fallon Inc | 117 W Bay St, Wauchula, FL 33873-3135 |
| Street Address |
117 W BAY ST |
| City | WAUCHULA |
| State | FL |
| Zip | 33873-3135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A. Villarete | Nurse Practitioner | Diego Fallon Inc | 117 W Bay St, Wauchula, FL 33873-3135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Pettit | Optometry | 1480 Hwy 17 N, Wauchula, FL 33873 | |
| Daniel J Black | Optometry | Sevigny and Associates Eye Care, Pa | 735 N 6th Ave, Wauchula, FL 33873-2002 |
| Ronald O Sevigny | Optometry | Sevigny and Associates Eye Care, Pa | 735 N 6th Ave, Wauchula, FL 33873-2002 |
| Evan Mae Llupar Lachica | Nurse Practitioner | Central Florida Health Care Inc | 121 K D Revell Rd, Wauchula, FL 33873-2051 |
| Joanne Elizabeth Dilella | Nurse Practitioner | Florida Department of Health | 115 K D Revell Rd, Wauchula, FL 33873-2051 |
| Amelia Knight | Nurse Practitioner | Central Florida Health Care Inc | 121 K D Revell Rd, Wauchula, FL 33873-2051 |
| Alena M Carlton | Chiropractic | 105 S 9th Ave, Wauchula, FL 33873-2809 | |
| Rose I Ogle | Clinical Social Worker | Peace River Center for Personal Development Inc | 213 E Orange St, Wauchula, FL 33873-2934 |
| Aaron Osborne | Emergency Medicine | Tampa Bay Emergency Physicians-heartland LLC | 735 S 5th Ave, Wauchula, FL 33873-3158 |
| Gene Ebert Myers | Cardiovascular Disease (cardiology) | 118 Carlton St, Wauchula, FL 33873-3316 | |
| Find all physicians in zip 33873 | |||
| City | WAUCHULA |
| Zip Code | 33873 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAUCHULA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jerold N Chip.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.