Organization Active NPI

T. Terry Chutinan MD PA

  • Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1790972784
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME23398 Issued in FL
Legal business name
T. TERRY CHUTINAN MD PA
Practice address
800 N Highway 434
Suite 4
Altamonte Springs, FL 32714-7041
Phone
(407) 862-4242
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. T. Terry Chutinan, M.D., P.A.
Title
Physician/Owner
Phone
(407) 862-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME23398 FL Primary

Addresses

Primary practice location

800 N Highway 434
Suite 4
Altamonte Springs, FL 32714-7041

Mailing address

800 N Highway 434
Suite 4
Altamonte Springs, FL 32714-7041
Phone (407) 862-4242

Other identifiers 2

IdentifierTypeStateIssuer
48736OtherFLBCBS
051371700MedicaidFL

National Provider Directory

National Provider Directory

Locations

800 N State Road 434
Ste 4
Altamonte Springs, FL 32714
Phone (407) 682-6612

Practitioners & affiliated clinicians

Practitioners 4

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1790972784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N HIGHWAY 434",
            "address_2": "SUITE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147041",
            "telephone_number": "407-862-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N HIGHWAY 434",
            "address_2": "SUITE 4",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147041",
            "telephone_number": "407-862-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. TERRY CHUTINAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "CHUTINAN",
        "authorized_official_first_name": "T. TERRY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-862-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME23398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "48736",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051371700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.