Organization Active NPI

Jackson County Hospital District

Doing business as Chipola Surgical Associates

  • Specialist
  • Marianna, FL
National Provider Identifier
1881815520
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME98090 Issued in FL
Legal business name
JACKSON COUNTY HOSPITAL DISTRICT
Doing business as
Chipola Surgical Associates
Practice address
3051 6TH St
Marianna, FL 32446-1933
Phone
(850) 718-2644
Fax
(850) 718-2894
NPI assigned
May 1, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
JACKSON COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Vechai Lee Arunakul, M.D.NPI 1811915580
Title
Physician
Phone
(850) 718-2644

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
Specialist 174400000X ME98090 FL Primary

Addresses

Primary practice location

3051 6TH St
Marianna, FL 32446-1933

Mailing address

3051 6TH St
Marianna, FL 32446-1933
Phone (850) 718-2644

Other identifiers 3

IdentifierTypeStateIssuer
95017OtherFLBCBSFL
1811915580OtherFLNPI
ME98090OtherFLFLME

Other names 1

  • Chipola Surgical Associates Doing business as

National Provider Directory

National Provider Directory
Part of
ER Phy GRP Jackson Hosp

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1881815520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 6TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461933",
            "telephone_number": "850-718-2644",
            "fax_number": "850-718-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 6TH ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461933",
            "telephone_number": "850-718-2644",
            "fax_number": "850-718-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACKSON COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "ARUNAKUL",
        "authorized_official_first_name": "VECHAI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-718-2644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME98090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "95017",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811915580",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLME",
            "identifier": "ME98090",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chipola Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.