NPIMap

Individual provider Active NPI

Chet Anthony, DO

  • Family Medicine Physician
  • Astor, FL
National Provider Identifier
1871650465
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8209 Issued in FL
Practice address
24239 State Road 40
Astor, FL 32102-3029
Phone
(352) 759-3900
Fax
(352) 759-3800
NPI assigned
Jan 2, 2007
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8209 FL Primary

Addresses

Primary practice location

24239 State Road 40
Astor, FL 32102-3029

Mailing address

24239 State Road 40
Astor, FL 32102-3029
Phone (352) 759-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000264 FL Practitioner - Family Practice 1951598291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24239 State Rd
Suite 40
Astor, FL 32102-3029
Phone (352) 759-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue87
Removal or shaving of skin growth76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chet Anthony DO, Inc. Family Medicine CurrentSince Aug 22, 2010 Accepting new patients
Memorial Health Systems Inc Past Accepting new patients

Locations

23939 State Road 40
Unit 3
Astor, FL 32102
Phone (352) 759-3900

24239 State Road 40
Astor, FL 32102
Phone (352) 759-3900

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1871650465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24239 STATE ROAD 40",
            "city": "ASTOR",
            "state": "FL",
            "postal_code": "321023029",
            "telephone_number": "352-759-3900",
            "fax_number": "352-759-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24239 STATE ROAD 40",
            "city": "ASTOR",
            "state": "FL",
            "postal_code": "321023029",
            "telephone_number": "352-759-3900",
            "fax_number": "352-759-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "CHET",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astor, FL

Sources for this page

Verify at the official NPI Registry.