Organization Active NPI

Physician Advisors LLC

  • Orthopaedic Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1184193161
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PHYSICIAN ADVISORS LLC
Doing business as
Physician Advisors LLC
Practice address
660 Palm Springs Dr
Altamonte Springs, FL 32701-7864
Phone
(855) 614-7246
Fax
(425) 270-3769
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Authorized official

Name
Mrs. Monica Johnson
Title
Account Manager
Phone
(425) 941-1360

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

660 Palm Springs Dr
Altamonte Springs, FL 32701-7864

Mailing address

6785 Arroyo Dr
Melbourne, FL 32940-8516
Phone (813) 731-5143

Other practice location 1

1747 Evans Rd Ste 103
Melbourne, FL 32904-3869
Phone (855) 614-7246

Other practice location 2

6785 Arroyo Dr
Melbourne, FL 32940-8516
Phone (813) 731-5143

Other names 3

  • Physician Advisors LLC Doing business as
  • Laser Spine Brevard Other name
  • Laser Spine Orlando Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Kareo.com

National Provider Directory

National Provider Directory

Locations

660 Palm Springs Dr
Altamonte Springs, FL 32701
Phone (855) 614-7246

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1184193161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6785 ARROYO DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408516",
            "telephone_number": "813-731-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PALM SPRINGS DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017864",
            "telephone_number": "855-614-7246",
            "fax_number": "425-270-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Evans Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329043869",
            "country_code": "US",
            "telephone_number": "855-614-7246",
            "fax_number": "425-270-3769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 Arroyo Dr",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408516",
            "country_code": "US",
            "telephone_number": "813-731-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN ADVISORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "425-941-1360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo.com",
            "affiliation": "N",
            "endpointDescription": "practice management system",
            "address_1": "6785 Arroyo Dr",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Physician Advisors LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laser Spine Brevard",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Laser Spine Orlando",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.