Chamber of Medicine P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME-100789 Issued in FL

Legal business name

CHAMBER OF MEDICINE P.A.

Practice address

327 W Cypress St
Kissimmee, FL 34741

Phone

(407) 483-0672

NPI assigned

Aug 22, 2009

Organization subpart

No

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

Authorized official

Name

Aziz Imtiaz

Title

Propreiter

Phone

(863) 419-1428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kashan R Khan, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Kissimmee, FL
  • NPI 1497959886
  Medicare reassignment NPD

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1346472446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W CYPRESS ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347413326",
            "telephone_number": "863-419-1428",
            "fax_number": "863-422-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W CYPRESS ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-483-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBER OF MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "IMTIAZ",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "PROPREITER",
        "authorized_official_telephone_number": "863-419-1428"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME-100789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aksa Chacko, NP
• Natalia Marcela Chacon Botero, RBT
• Alexis Chacon
• Ana Laura Chacon
• Stacie Chaffin, WHNP-BC
• Champion Families Ministries LLC (Champion Families Counseling LLC)
• Champion Home Medical and Supplies
• Robert Michael Chandler
• Kun Ming Chang, M.D.
• Karina C Chaparro de Gonzalez

• Primary Care Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.