Organization Active NPI

George William Chisholm, M.D.

Doing business as Same

  • Specialist
  • Orlando, FL
National Provider Identifier
1952600546
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FL-035767 Issued in FL
Legal business name
GEORGE WILLIAM CHISHOLM, M.D.
Doing business as
Same
Practice address
1720 S Orange Ave
Suite 102
Orlando, FL 32806-2945
Phone
(407) 841-1521
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Dr. George William Chisholm, M.D.
Title
Medical Doctor
Phone
(407) 841-1521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL-035767 FL Primary

Addresses

Primary practice location

1720 S Orange Ave
Suite 102
Orlando, FL 32806-2945

Mailing address

1720 S Orange Ave
Suite 102
Orlando, FL 32806-2945
Phone (407) 841-1521

Other names 1

  • Same Doing business as

National Provider Directory

National Provider Directory

Locations

1720 S Orange Ave
Ste 102
Orlando, FL 32806
Phone (321) 841-1521

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1952600546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S ORANGE AVE",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062945",
            "telephone_number": "407-841-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S ORANGE AVE",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062945",
            "telephone_number": "407-841-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE WILLIAM CHISHOLM, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "407-841-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "FL-035767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.