Active NPI
Ann Marie Levine, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1124069299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 274075300
- Practice address
- 5900 S John Young Pkwy
Orlando, FL 32839-3716 - Phone
- (407) 398-6470
- Fax
- (407) 894-6872
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301095552 | MI | |
| Pediatrics Physician | 208000000X | 274075300 | FL | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 4301095552 | MI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | ME94546 | FL | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 4301095552 | MI | |
| Pediatric Pulmonology Physician | 2080P0214X | 4301095552 | MI |
Addresses
Primary practice location
5900 S John Young Pkwy
Orlando, FL 32839-3716
Mailing address
5900 S John Young Pkwy
Orlando, FL 32839-3716
Phone (407) 398-6470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274075300 | Medicaid | FL |
Other names 1
- Ann Marie Levine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274075300 | FL | MD | Pediatrics Physician |
| 4301095552 | MI | MD | Pediatric Pulmonology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1124069299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-398-6470",
"fax_number": "407-894-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328393716",
"telephone_number": "407-398-6470",
"fax_number": "407-894-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "ANN MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301095552",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "274075300",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "MI",
"license": "4301095552",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "FL",
"license": "ME94546",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MI",
"license": "4301095552",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MI",
"license": "4301095552",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274075300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN MARIE",
"last_name": "LEVINE",
"code": "5",
"type": "Other Name"
}
]
}
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 22, 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.