Provider Demographics
NPI:1699987339
Name:CHAUSMER, ARTHUR B (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:B
Last Name:CHAUSMER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16103 CEDAR KEY DR
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-4084
Mailing Address - Country:US
Mailing Address - Phone:803-397-8039
Mailing Address - Fax:813-813-6067
Practice Address - Street 1:16103 CEDAR KEY DR
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-4084
Practice Address - Country:US
Practice Address - Phone:803-397-8039
Practice Address - Fax:813-812-6067
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38345207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00844305OtherRAILROAD MEDICARE
E34030Medicare UPIN
INP00844305OtherRAILROAD MEDICARE
IN192770D7Medicare PIN
INM400017800Medicare PIN