Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chaz Kisgeropoulos

Individual provider Physician Assistant · NPI 1235612581

Chaz Kisgeropoulos is a Physician Assistant in Daytona Beach, Florida. Qualified in 2018, 8 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone: (386) 231-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127-8980 — (386) 271-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1235612581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESJanuary 14, 2020
Certification dateJanuary 14, 2020
Mailing address5447 Carmody Lake Dr, Port Orange, FL 32128-7480

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Daytona Beach