MEDICARE: DR. JIRAYOS CHINTANADILOK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME77246	FL
2	207RP1001X	Pulmonary Disease Physician	ME77246	FL
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	ME77246	FL
4	207RP1001X	Pulmonary Disease Physician	01087460A	IN

General Provider Information

NPI Number	:	1073516274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIRAYOS CHINTANADILOK M.D.

Provider Business Mailing Address
First Line	:	4250 HOSPITAL DR
Second Line	:
City	:	MARIANNA
State	:	FL
Zip	:	32446-1917
Country	:	US
Telephone Number	:	850-482-2061
Fax Number	:	850-482-6617

Provider Business Practice Location Address
First Line	:	4296 5TH AVENUE
Second Line	:
City	:	MARIANNA
State	:	FL
Zip	:	32446-2173
Country	:	US
Telephone Number	:	850-482-2061
Fax Number	:	850-482-6617

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/15/2022

Similar Medicare Providers

1568469062 — JIRAYOS CHINTANADILOK
Practice Location Address:

4296 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-2061
Practice Fax: 850-482-6617

1033174594 — EVEREST MEDICAL CARE P A
Practice Location Address:

4296 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-2061
Practice Fax: 850-482-6617

1790732881 — ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Practice Location Address:

4298 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-5787
Practice Fax: 850-482-8108

1407895584 — ER PHYSICIAN GROUP AT JACKSON HOSPITAL
Practice Location Address:

4298 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-5787
Practice Fax: 850-482-8108

1750320057 — DR. VANESSA G KING-JOHNSON M.D.
Practice Location Address:

4298 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-5787
Practice Fax: 850-482-8108

1265691331 — ROBERT MICHAEL HALL ARNP
Practice Location Address:

4296 5TH AVE
MARIANNA, FL
32446-2173

Practice Phone: 850-482-2061
Practice Fax: 850-633-5911

Directions to “ DR. JIRAYOS CHINTANADILOK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.