NPIMap

Organization Active NPI

Physician Associates LLC

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1043477086
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PHYSICIAN ASSOCIATES LLC
Practice address
1132 Kelton Ave
Ocoee, FL 34761-3175
Phone
(407) 381-7360
Fax
(407) 306-6302
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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
Phone
(407) 262-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1132 Kelton Ave
Ocoee, FL 34761-3175

Mailing address

235 N Westmonte Dr
Physician Associates LLC
Altamonte Springs, FL 32714-3345

Other identifiers 2

IdentifierTypeStateIssuer
062757700MedicaidFL
062757714MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Physician Associates LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1043477086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR",
            "address_2": "PHYSICIAN ASSOCIATES LLC",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 KELTON AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613175",
            "telephone_number": "407-381-7360",
            "fax_number": "407-306-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "BUHRING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-262-5710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757714",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.