THELMA LOUISE CHISHOLM MD
NPI 1649241852
Radiology - Therapeutic Radiology in Lakeland, FL

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0203X and a focus in Therapeutic Radiology.

Active since January 27, 2006

1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 680-7000(866) 264-8519 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Thelma Louise Chisholm Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THELMA LOUISE CHISHOLM MD (NPI 1649241852) is an individual therapeutic radiology provider in Lakeland, Florida, licensed in Florida (ME85941) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1649241852

Entity TypeIndividualFemale

Primary Taxonomy2085R0203X

Provider Legal NameTHELMA LOUISE CHISHOLMCredential: MD

Location Address1600 LAKELAND HILLS BLVDLakeland, FL 33805

Mailing AddressPo Box 95004Lakeland, FL 33804 · (863) 680-7206 · Fax (863) 680-7420

Phone(863) 680-7000

Fax(866) 264-8519

Sole ProprietorNo

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJune 12, 2012

✔ NPI 1649241852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0203X

License✔ Licensed in FL · ME85941

Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

1600 LAKELAND HILLS BLVD, Lakeland, FL 33805

Open in Google Maps ↗

Other Identifiers 5

Medicaid265428800FL

Medicare NSC0471260001FL

Medicare UPINA92918

Medicare PIN47882ZFL

Medicare PIN47881ZFL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL A ADDONIZIO M.D.

Radiology (Vascular & Interventional Radiology)