Organization Active NPI

Joseph E Chebli MD Facs Inc PS

  • Specialist
  • Venice, FL
National Provider Identifier
1700982352
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JOSEPH E CHEBLI MD FACS INC PS
Practice address
1370 E Venice Ave Ste 208
Venice, FL 34285-9084
Phone
(941) 209-4646
Fax
(941) 445-4152
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Dr. Joseph E Chebli, MDNPI 1649215435
Title
Physician/Owner
Phone
(941) 209-4646

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1370 E Venice Ave Ste 208
Venice, FL 34285-9084

Mailing address

1370 E Venice Ave Ste 208
Venice, FL 34285-9084
Phone (941) 209-4646

Other practice location 1

1570 N 115th St Ste 5
Seattle, WA 98133-8412
Phone (206) 368-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010001429 FL Part B Supplier - Clinic/Group Practice 7416982913 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL; Brandon, FL; Lakeland, FL

National Provider Directory

National Provider Directory

Locations

10330 Meridian Ave N
Ste 390
Seattle, WA 98133
Phone (206) 368-1230

1570 N 115th St
Ste 5
Seattle, WA 98133
Phone (206) 368-1230

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1700982352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-209-4646",
            "fax_number": "941-445-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 E VENICE AVE STE 208",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859084",
            "telephone_number": "941-209-4646",
            "fax_number": "941-445-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 N 115th St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338412",
            "country_code": "US",
            "telephone_number": "206-368-1230",
            "fax_number": "206-368-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOSEPH E CHEBLI MD FACS INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "CHEBLI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "941-209-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.