Jirayos Chintanadilok

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME27861 Issued in FL

Legal business name

JIRAYOS CHINTANADILOK

Doing business as

Everest Medical Care

Practice address

4296 5TH Ave
Marianna, FL 32446-2173

Phone

(850) 482-2061

Fax

(850) 482-6617

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Jirayos Chintanadilok, M.D.

Title

M.D. (Owner)

Phone

(850) 482-2061

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Everest Medical Care Doing business as

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1568469062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462173",
            "telephone_number": "850-482-2061",
            "fax_number": "850-482-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4296 5TH AVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462173",
            "telephone_number": "850-482-2061",
            "fax_number": "850-482-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRAYOS CHINTANADILOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "CHINTANADILOK",
        "authorized_official_first_name": "JIRAYOS",
        "authorized_official_title_or_position": "M.D. (OWNER)",
        "authorized_official_telephone_number": "850-482-2061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME27861",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME77246",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME77246",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME77246",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101074",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP1903302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269074800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everest Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Jackson, LPN
• Jordan Jacques
• Holli Rae Jemison, ARNP
• Kristen W. Jenkins, APRN-C
• Timra Shea Jerkins, APRN
• John William Kurpa DC PA
• Ashley Johns, DO
• Rachel Johnson
• Regist Tonyce Johnson, NURSE PRACTITIONER
• Vicky Dees Johnson, RN

• Family Medicine Physician in Marianna, FL
• Providers in Marianna, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.