Maxim Chumak, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME114939 Issued in FL

Practice address

551 N Federal Hwy
Suite 800
Fort Lauderdale, FL 33301-2559

Phone

(832) 623-2002

Fax

(186) 639-5218

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880

  Family Medicine

  Medicare reassignment NPD
• Midwest Medical Point of Care PC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1821326695
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1942463054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "832-623-2002",
            "fax_number": "186-639-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY",
            "address_2": "SUITE 800",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "832-623-2002",
            "fax_number": "186-639-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMAK",
        "first_name": "MAXIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301093152",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301093152",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME114939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Low Plastic Surgery PA
• Rachel Blake Christopher
• Chrysalis Center, LLC
• Ivan Paul Chudnow, M.D.
• Samuel Chukwuma, MD
• Amelia Chung
• Aylene Teresa Chung
• Minkyung Chung, LMHC 13929
• Andrea Lynn Ciaravino
• Marsha K Ciccone, MSW

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.

Verify at the official NPI Registry.