Organization Active NPI

Michael Moyer MD PA

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1104080019
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME61609 Issued in FL
Legal business name
MICHAEL MOYER MD PA
Practice address
3592 Aloma Ave
Suite 5
Winter Park, FL 32792-4012
Phone
(407) 671-7141
Fax
(407) 671-7104
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Michael Moyer, MDNPI 1922099910
Title
President
Phone
(407) 671-7141

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME61609 FL Primary

Addresses

Primary practice location

3592 Aloma Ave
Suite 5
Winter Park, FL 32792-4012

Mailing address

PO Box 721239
Orlando, FL 32872-1239
Phone (407) 671-7141

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1104080019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721239",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328721239",
            "telephone_number": "407-671-7141",
            "fax_number": "407-671-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE",
            "address_2": "SUITE 5",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-671-7141",
            "fax_number": "407-671-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MOYER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-671-7141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME61609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.