Active NPI
Chester D. Miltenberger, MD PA
- Internal Medicine Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME40263
- Legal business name
- CHESTER D. MILTENBERGER, MD PA
- Practice address
- 766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552 - Phone
- (407) 322-5923
- Fax
- (407) 333-2358
- NPI assigned
- Sep 9, 2009
- Last updated
- Aug 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chester D Miltenberger Jr., MD
- Title
- Owner/Doctor
- Phone
- (407) 322-5923
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME40263 | FL | Primary |
| Legal Medicine (M.D./D.O.) Physician | 209800000X | ME0040263 | FL |
Addresses
Primary practice location
766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Mailing address
766 N Sun Dr
Suite 1060
Lake Mary, FL 32746-2552
Phone (407) 322-5923
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202961800 | Medicaid | FL | |
| 1902855505 | Other | FL | INDIVIDUAL PROVIDER NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Chester D Miltenberger Mdpa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Lake Mary, FL
- NPI 1982974580
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Non-Pharmacy Dispensing Site
- Lake Mary, FL
- NPI 1982974580
-
- Internal Medicine Physician
- Lake Mary, FL
- NPI 1487528428
Practitioners & affiliated clinicians
Practitioners 1
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": "1252454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1376876318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "766 N SUN DR",
"address_2": "SUITE 1060",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462552",
"telephone_number": "407-322-5923",
"fax_number": "407-333-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "766 N SUN DR",
"address_2": "SUITE 1060",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462552",
"telephone_number": "407-322-5923",
"fax_number": "407-333-2358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTER D. MILTENBERGER, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-09",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "MILTENBERGER",
"authorized_official_first_name": "CHESTER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "407-322-5923",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME40263",
"primary": true
},
{
"code": "209800000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "FL",
"license": "ME0040263",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202961800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PROVIDER NPI",
"identifier": "1902855505",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.