NPIMap

Organization Active NPI

Damask Physicians Group PLLC

  • Otolaryngology Physician
  • Lake Mary, FL
National Provider Identifier
1023283967
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
DAMASK PHYSICIANS GROUP PLLC
Doing business as
Lake Mary Ear, Nose, Throat & Allergy
Practice address
795 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2191
Phone
(407) 829-8981
Fax
(407) 942-1049
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Cecelia Damask, DO
Title
Physician
Phone
(407) 829-8981

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary
Otolaryngic Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0602X

Addresses

Primary practice location

795 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2191

Mailing address

795 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2191
Phone (407) 829-8981

Other identifiers 1

IdentifierTypeStateIssuer
FD6869861OtherNCBCBS

Other names 1

  • Lake Mary Ear, Nose, Throat & Allergy Doing business as

National Provider Directory

National Provider Directory

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1023283967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD",
            "address_2": "SUITE 1031",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "407-829-8981",
            "fax_number": "407-942-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 PRIMERA BLVD",
            "address_2": "SUITE 1031",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462191",
            "telephone_number": "407-829-8981",
            "fax_number": "407-942-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMASK PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "DAMASK",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-829-8981",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "FD6869861",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mary Ear, Nose, Throat & Allergy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake Mary Ear, Nose, Throat & Allergy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2020; 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.