Individual provider Active NPI

Dora O Chizea, M.D.

  • Specialist
  • Punta Gorda, FL
National Provider Identifier
1780767509
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME92876 Issued in FL
Practice address
2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934
Phone
(941) 637-1076
Fax
(941) 637-7226
NPI assigned
Oct 23, 2006
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME92876 FL Primary

Addresses

Primary practice location

2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934

Mailing address

PO Box 511596
Punta Gorda, FL 33951-1596
Phone (941) 637-6380

Other names 1

  • Dora O Chizea Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061115000056 FL Practitioner - Internal MedicinePractitioner - Family Practice 1052319662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME92876FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Verad Minute Clinic LLC CurrentSince Jul 31, 2022 Accepting new patients
New Hope Natural Healing Center Inc Past Accepting new patients
New Hope Natural Healing Center Inc Past Accepting new patients

Locations

5915 N Armenia Ave
Tampa, FL 33603
Phone (813) 373-0147

Interoperability endpoints

  • Direct secure messaging: dora.chizea@504.emedpractice.direct-ci.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1780767509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511596",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339511596",
            "telephone_number": "941-637-6380",
            "fax_number": "941-347-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 TAMIAMI TRL UNIT 2101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505934",
            "telephone_number": "941-637-1076",
            "fax_number": "941-637-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIZEA",
        "first_name": "DORA",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "CHIZEA",
            "middle_name": "O",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.