Judith A Chalykoff, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME100974 Issued in ZZ

Practice address

10437 Moss Park Rd
Orlando, FL 32832-5812

Phone

(407) 802-1100

Fax

(407) 832-1101

NPI assigned

Aug 25, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Judith A Chalykoff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martin Clinic Corp

  • Family Medicine Physician
  • Martin, TN
  • NPI 1568465102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1053304923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-802-1100",
            "fax_number": "407-832-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10437 MOSS PARK RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325812",
            "telephone_number": "407-802-1100",
            "fax_number": "407-832-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALYKOFF",
        "first_name": "JUDITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "ME100974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CHALYKOFF",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lucienne Chalas, PMHNP
• Chaldean-Care Infectious Diseases LLC
• Yuliet Chalela, COTA
• Rene Chalom, M.D.
• Lydia Chalonec, MED
• Gregory Mark Chamberlin, MD
• Kelly Marie Chamberlin, MD
• Cherise S. Chambers, MD
• Danelle Kay Chambers, MD
• Jaquelyn Elizabeth Chambers

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.