NPIMap

Organization Active NPI

Michael W. Chancellor, M.D., PLLC

  • Radiation Oncology Physician
  • Daytona Beach Shores, FL
National Provider Identifier
1902089964
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-5444 Issued in AR
Legal business name
MICHAEL W. CHANCELLOR, M.D., PLLC
Practice address
3425 S Atlantic Ave Apt 906
Daytona Beach Shores, FL 32118-6363
Phone
(479) 831-9545
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Dr. Michael W Chancellor, M.D.NPI 1790893782
Title
Owner
Phone
(479) 831-9545

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
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X E-5444 AR Primary

Addresses

Primary practice location

3425 S Atlantic Ave Apt 906
Daytona Beach Shores, FL 32118-6363

Mailing address

3425 S Atlantic Ave Apt 906
Daytona Beach Shores, FL 32118-6363
Phone (479) 831-9545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1902089964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 S ATLANTIC AVE APT 906",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186363",
            "telephone_number": "479-831-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 S ATLANTIC AVE APT 906",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321186363",
            "telephone_number": "479-831-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. CHANCELLOR, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "CHANCELLOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-831-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-5444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.