Organization Active NPI

Medical Alternatives of America Inc

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1063434017
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69749 Issued in FL
Legal business name
MEDICAL ALTERNATIVES OF AMERICA INC
Practice address
5979 Vineland Rd
Suite 209
Orlando, FL 32819-7800
Phone
(407) 352-1030
Fax
(407) 352-2884
NPI assigned
Jul 25, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Joshua Maywalt
Title
Billing Manager
Phone
(407) 352-1030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME69749 FL Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA9103647 FL
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X ARNP2617642 FL

Addresses

Primary practice location

5979 Vineland Rd
Suite 209
Orlando, FL 32819-7800

Mailing address

5979 Vineland Rd
Suite 209
Orlando, FL 32819-7800
Phone (407) 352-1030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1063434017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-352-1030",
            "fax_number": "407-352-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 209",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-352-1030",
            "fax_number": "407-352-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ALTERNATIVES OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "MAYWALT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-352-1030"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69749",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103647",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP2617642",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 14, 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.