Organization Active NPI

Integrative Primary Care Doctor

  • Acupuncturist
  • Lake Mary, FL
National Provider Identifier
1003262585
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3693 Issued in FL
Legal business name
INTEGRATIVE PRIMARY CARE DOCTOR
Practice address
450 Saint Charles Court
Suite 1000
Lake Mary, FL 32746-7626
Phone
(407) 833-3800
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Dr. Andrew Lawrence Walsh, D.O.M, A.P.
Title
Acupuncture Physician
Phone
(407) 435-9683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3693 FL Primary

Addresses

Primary practice location

450 Saint Charles Court
Suite 1000
Lake Mary, FL 32746-7626

Mailing address

450 Saint Charles CT Ste 1000
Lake Mary, FL 32746-2176
Phone (407) 833-3800

National Provider Directory

National Provider Directory

Locations

450 Saint Charles Ct
Ste 1000
Lake Mary, FL 32746
Phone (407) 833-3800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFGBDA

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1003262585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SAINT CHARLES CT STE 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462176",
            "telephone_number": "407-833-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SAINT CHARLES COURT",
            "address_2": "SUITE 1000",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467626",
            "telephone_number": "407-833-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PRIMARY CARE DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "407-435-9683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O.M, A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.