Individual provider Active NPI

Hana Chaim

  • Allergy & Immunology Physician
  • Ormond Beach, FL
National Provider Identifier
1144250341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
OS0004828 Issued in FL
Practice address
595 W Granada Blvd Ste D
Ormond Beach, FL 32174-5181
Phone
(386) 672-9000
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X OS0004828 FL Primary

Addresses

Primary practice location

595 W Granada Blvd Ste D
Ormond Beach, FL 32174-5181

Mailing address

595 W Granada Blvd Ste D
Ormond Beach, FL 32174-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000471 FL Practitioner - Allergy/Immunology 5294760955 Practice locations: Ormond Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

595 Granada Blvd
Suite D
Ormond Beach, FL 32174

595 W Granada Blvd
Suite D
Ormond Beach, FL 32174-5181
Phone (386) 672-9000

595 W Granada Blvd D
Ormond Beach, FL 32174-5181

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0004828FLMDAllergy & Immunology Physician

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144250341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD STE D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W GRANADA BLVD STE D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745181",
            "telephone_number": "386-672-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIM",
        "first_name": "HANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "OS0004828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.