Organization Active NPI

Oakcrest Health Research Institute PLLC

  • Internal Medicine Physician
  • Avon Park, FL
National Provider Identifier
1073870903
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OAKCREST HEALTH RESEARCH INSTITUTE PLLC
Practice address
1005 W Circle St
Avon Park, FL 33825-2928
Phone
(863) 453-5500
NPI assigned
Apr 17, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Stanley TanNPI 1396747721
Title
Cmo
Phone
(909) 645-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1005 W Circle St
Avon Park, FL 33825-2928

Mailing address

1005 W Circle St
Avon Park, FL 33825-2928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1073870903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W CIRCLE ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W CIRCLE ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338252928",
            "telephone_number": "863-453-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKCREST HEALTH RESEARCH INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "909-645-3588"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.