Angello Romeo Chaviano

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9119641 Issued in FL

Practice address

4350 Sheridan St Ste 102
Hollywood, FL 33021-3556

Phone

(954) 322-8586

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ortho Florida, LLC

  • Specialist
  • Boca Raton, FL
  • NPI 1821113192
  Medicare reassignment NPD
• Ortho Florida, LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1225833858
  NPD

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1427746130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15724 SW 153RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875494",
            "telephone_number": "305-726-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SHERIDAN ST STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213556",
            "telephone_number": "954-322-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIANO",
        "first_name": "ANGELLO",
        "middle_name": "ROMEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9119641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Chater, MD, FRCSC
• Matthew Scott Russell Chatoor, MD
• Nathaly Chaves
• Claudia Chavez Corzo
• Gisel Chavez Zardon
• Suzanne Elizabeth Cheas, MOTR/L
• Chen Neighborhood Medical Centers of South Florida, LLC
• Julie A Chen, MENTAL HEALTH COUNSE
• Justine Chen, O.D.
• Linda Chen, M.D.

• Medical Physician Assistant in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.