Active NPI
Jonathan Lyons Chadwick, MD
- Otolaryngology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- TP580
- Practice address
- 3030 Harden Blvd
Lakeland, FL 33803-7952 - Phone
- (863) 284-5906
- NPI assigned
- Oct 20, 2006
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME133285 | FL | |
| Otolaryngology Physician | 207Y00000X | TP580 | KY | Primary |
Addresses
Primary practice location
3030 Harden Blvd
Lakeland, FL 33803-7952
Mailing address
1324 Lakeland Hills Blvd
Attn: Managed Care
Lakeland, FL 33805-4543
Phone (863) 687-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Pennsylvania State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Medical Ctr Dr
Suite 303
Paducah, KY 42003-7915
Phone (270) 444-4222
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 78.12
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP580 | KY | MD | Obstetrics & Gynecology Physician |
| ME133285 | FL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Kentucky Specialty Care LLC | Current | Accepting new patients | |
| Santa Rosa Hma Physician Management LLC | Past | Accepting new patients | |
| Mercy Health Physicians Kentucky LLC | Past | Accepting new patients |
Locations
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
225 Medical Center Dr
Ste 303
Paducah, KY 42003
Phone (270) 442-9463
Interoperability endpoints
- jchadwick1140812@direct.bsmhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Paducah, KY
- NPI 1700408093
-
dba Mercy Health - Paducah Orthopedics
- Durable Medical Equipment & Medical Supplies
- Paducah, KY
- NPI 1043088347
-
- Family Medicine Physician
- Pace, FL
- NPI 1043880347
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922243690
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1215019179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"address_2": "ATTN: MANAGED CARE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338054543",
"telephone_number": "863-687-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HARDEN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338037952",
"telephone_number": "863-284-5906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "JONATHAN",
"middle_name": "LYONS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME133285",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "KY",
"license": "TP580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.