=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972782415
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NCHMD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2007
-----------------------------------------------------
Last Update Date | 12/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 130 TAMIAMI TRL N STE 220
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34102-6224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-434-5700
-----------------------------------------------------
Fax | 239-434-8605
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 801 ANCHOR RODE DR SUITE 300
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34103-2751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | NOBLE ARRINGTON
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 239-624-6338
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------