NPIMap

Organization Active NPI

Huntclub Pediatric Associates, LLC

  • Pediatrics Physician
  • Apopka, FL
National Provider Identifier
1063568855
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HUNTCLUB PEDIATRIC ASSOCIATES, LLC
Practice address
425 S Hunt Club Blvd
Ste 1051
Apopka, FL 32703
Phone
(407) 786-4080
Fax
(407) 786-4667
NPI assigned
Jan 26, 2007
Last updated
Mar 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Carlos Chaban, MDNPI 1114078698
Title
Owner
Phone
(407) 786-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

425 S Hunt Club Blvd
Ste 1051
Apopka, FL 32703

Mailing address

425 S Hunt Club Blvd
Ste 1051
Apopka, FL 32703
Phone (407) 786-4080

National Provider Directory

National Provider Directory

Locations

737 Stirling Center Pl
Ste 1809
Lake Mary, FL 32746
Phone (407) 878-6008

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAADD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1063568855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "STE 1051",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-786-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S HUNT CLUB BLVD",
            "address_2": "STE 1051",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "32703",
            "telephone_number": "407-786-4080",
            "fax_number": "407-786-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTCLUB PEDIATRIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "CHABAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-786-4080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.