Active NPI
Dora O Chizea, M.D.
- Specialist
- Punta Gorda, FL
National Provider Identifier
1780767509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME92876
- 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, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92876 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verad Minute Clinic LLC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Tampa, FL
- NPI 1750050654
-
- Physical Therapist
- Port Charlotte, FL
- NPI 1417108309
-
- Chiropractor
- Port Charlotte, FL
- NPI 1811098130
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.