Deland Pediatric Associates M.D.P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DELAND PEDIATRIC ASSOCIATES M.D.P.A.

Practice address

999 N Stone St
Suite a
Deland, FL 32720-0800

Phone

(386) 738-6804

Fax

(386) 943-4046

NPI assigned

Oct 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bhavnaben B PatelNPI 1255406302

Title

President

Phone

(386) 738-6804

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bhavnaben B Patel, MD

  • Pediatrics Physician
  • Deland, FL
  • NPI 1255406302
  NPD (past) Authorized official
• Usha P Patel, M.D.

  • Pediatrics Physician
  • Deland, FL
  • NPI 1285799429
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1194801571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200800",
            "telephone_number": "386-738-6804",
            "fax_number": "386-943-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200800",
            "telephone_number": "386-738-6804",
            "fax_number": "386-943-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAND PEDIATRIC ASSOCIATES M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHAVNABEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-738-6804",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255187000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deland FL Opco, LLC
• Deland Foot and Leg Center, LLC
• Deland Geriatric Care, Inc. (The Good Shepards-West of deLand)
• Deland Manor Assisted Living Corp
• Deland Medical Center LLC
• Deland Primary Care and Aesthetics LLC
• Deland Senior Care, LLC (Alliance Health and Rehabilitation Center)
• Deland Senior Care, LLC (Cypress at the Groves)
• Deland Smiles
• Deland Surgery Center LTD

• Pediatrics Physician in Deland, FL
• Providers in Deland, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.