Lance Kevin Chaykin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9101373 Issued in FL

Practice address

3153 Canada CT
Lake Worth, FL 33461-5517

Phone

(561) 296-1582

Fax

(561) 649-8861

NPI assigned

Jun 17, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Horizon Vein Laser&Aesthetics Clinic PA

  • Specialist
  • Plano, TX
  • NPI 1194912832
  NPD (past)
• Southwestern Pain Institute, PA

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1386786564
  NPD (past)

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1508151440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 US HIGHWAY 1",
            "address_2": "304",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084617",
            "telephone_number": "561-615-6664",
            "fax_number": "561-615-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 CANADA CT",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334615517",
            "telephone_number": "561-296-1582",
            "fax_number": "561-649-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAYKIN",
        "first_name": "LANCE",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raoul Charles, TT
• Renold Charles
• Beth Rose Chassin, MSW, LCSW
• Chatterbox Speech and Language Therapy
• Daniela Chavez Y Chavez
• Andrea F. Chen, M.D.
• Whitney Cherner, LCSW
• Child Protection Team
• Childgarden LLC
• Children'S Diagnostic Testing Group of Palm Beach, Inc.

• Medical Physician Assistant in Lake Worth, FL
• Providers in Lake Worth, 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 Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.