Active NPI
Physician Associates LLC
- Obstetrics & Gynecology Physician
- Kissimmee, FL
National Provider Identifier
1164689337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PHYSICIAN ASSOCIATES LLC
- Practice address
- 601 E Oak St
Suite C
Kissimmee, FL 34744-4574 - Phone
- (407) 518-1097
- Fax
- (407) 518-1476
- NPI assigned
- May 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis J. Buhring
- Title
- Ceo/Chairman of the Board
- Phone
- (407) 262-5710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
601 E Oak St
Suite C
Kissimmee, FL 34744-4574
Mailing address
235 N Westmonte Dr
Physician Associates LLC
Altamonte Springs, FL 32714-3345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062757715 | Medicaid | FL | |
| 062757700 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
601 E Oak St
Ste C
Kissimmee, FL 34744
Phone (407) 518-1097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507075200000",
"number": "1164689337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 N WESTMONTE DR",
"address_2": "PHYSICIAN ASSOCIATES LLC",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E OAK ST",
"address_2": "SUITE C",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444574",
"telephone_number": "407-518-1097",
"fax_number": "407-518-1476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2017-10-04",
"status": "A",
"authorized_official_last_name": "BUHRING",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CEO/CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "407-262-5710",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062757715",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062757700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.