Organization Active NPI

Physician Associates LLC

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1013174135
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PHYSICIAN ASSOCIATES LLC
Practice address
7350 Sandlake Commons Blvd
Suite 1102
Orlando, FL 32819-8040
Phone
(407) 355-7478
Fax
(407) 354-2431
NPI assigned
May 16, 2008
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Mr. Dennis J. Buhring
Title
Ceo/Member of the Board
Phone
(407) 649-7401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

7350 Sandlake Commons Blvd
Suite 1102
Orlando, FL 32819-8040

Mailing address

77 W Underwood St FL 5
MP 146
Orlando, FL 32806-1122
Phone (407) 649-7400

Other identifiers 2

IdentifierTypeStateIssuer
062757719MedicaidFL
062757700MedicaidFL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

77 Underwood St
Fl 5
Orlando, FL 32806
Phone (407) 843-2130

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1013174135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W UNDERWOOD ST FL 5",
            "address_2": "MP 146",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061122",
            "telephone_number": "407-649-7400",
            "fax_number": "407-649-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SANDLAKE COMMONS BLVD",
            "address_2": "SUITE 1102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198040",
            "telephone_number": "407-355-7478",
            "fax_number": "407-354-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "BUHRING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO/MEMBER OF THE BOARD",
        "authorized_official_telephone_number": "407-649-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757719",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.