Organization Active NPI

Tequesta Family Practice PA

  • Family Medicine Physician
  • Tequesta, FL
National Provider Identifier
1003084997
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5132 Issued in FL
Legal business name
TEQUESTA FAMILY PRACTICE PA
Practice address
395 B Tequesta Dr
Tequesta, FL 33458-3053
Phone
(561) 746-4333
Fax
(561) 746-4449
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raymond J Oenbrink, DONPI 1972563989
Title
Doctor
Phone
(561) 746-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS5132 FL Primary

Addresses

Primary practice location

395 B Tequesta Dr
Tequesta, FL 33458-3053

Mailing address

395 B Tequesta Dr
Tequesta, FL 33458-3053
Phone (561) 746-4333

Other identifiers 1

IdentifierTypeStateIssuer
K1217OtherFLMEDICARE GROUP ID

National Provider Directory

National Provider Directory

Locations

395 Tequesta Dr
#B
Tequesta, FL 33469
Phone (407) 746-4333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1003084997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 B TEQUESTA DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334583053",
            "telephone_number": "561-746-4333",
            "fax_number": "561-746-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 B TEQUESTA DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334583053",
            "telephone_number": "561-746-4333",
            "fax_number": "561-746-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEQUESTA FAMILY PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "OENBRINK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-746-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "K1217",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.