Adventhealth Primary Care Network Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVENTHEALTH PRIMARY CARE NETWORK INC

Practice address

900 Hope Way
Altamonte Springs, FL 32714-1502

Phone

(407) 357-1000

NPI assigned

Jul 5, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly J Pettijohn

Title

SVP-Cfo

Phone

(407) 357-1000

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations (25 of 51)

Practitioners 787

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.

• Alicia Syntrell Abel, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1902432347
  Medicare reassignment Care Compare group NPD
• Shilpa Kurapati Abraham, APRN

  • Family Nurse Practitioner
  • Altamonte Springs, FL
  • NPI 1679398986
  Medicare reassignment Care Compare group NPD
• Wendy Carol Acosta Luna, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1912336520
  Medicare reassignment Care Compare group NPD
• Hursel Lee Adkins Jr., DO

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1811092737
  Medicare reassignment Care Compare group NPD
• Christian Geldi Aguado, MD

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1548897135
  Medicare reassignment Care Compare group NPD
• Maleeha Ahmad

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1275104382
  Medicare reassignment Care Compare group NPD
• Tanam Ahmed, MD

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1043475155
  Medicare reassignment Care Compare group NPD
• Tashrique Alam, D.O

  • Family Medicine Physician
  • Land O' Lakes, FL
  • NPI 1821473299
  Medicare reassignment Care Compare group NPD
• Jacob William Albert, MD

  • Family Medicine Physician
  • Palm Harbor, FL
  • NPI 1265929319
  Medicare reassignment Care Compare group NPD
• Danielle L Albritton, DO

  • Family Medicine Physician
  • Dade City, FL
  • NPI 1114969151
  Medicare reassignment Care Compare group NPD
• Dominiqua Alexis, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1053882290
  Medicare reassignment Care Compare group NPD
• Aftaab Aliahmad, MD

  • Internal Medicine Physician
  • Deltona, FL
  • NPI 1679107064
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1093493637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOPE WAY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141502",
            "telephone_number": "407-357-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOPE WAY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141502",
            "telephone_number": "407-357-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTHEALTH PRIMARY CARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "PETTIJOHN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SVP-CFO",
        "authorized_official_telephone_number": "407-357-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adventist Health System-Sunbelt, Inc (Adventhealth Infusion Center Altamonte Springs)
• Adventist Health System-Sunbelt, Inc (Adventhealth Eden Boutique Altamonte Springs)
• Adventist Health System-Sunbelt, Inc (Adventhealth Imaging 3D Lab Orlando)

• Family Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.