Organization Active NPI

John a Dryfuss Jr MD PA

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1215214259
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0015017 Issued in FL
Legal business name
JOHN A DRYFUSS JR MD PA
Practice address
7109 NW 11TH PL
Ste C
Gainesville, FL 32605-3170
Phone
(352) 331-1773
Fax
(352) 331-1814
NPI assigned
Nov 4, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN A DRYFUSS JR MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. John A Dryfuss Jr., M.D. P.A.NPI 1265585798
Title
President
Phone
(352) 331-1773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0015017 FL Primary

Addresses

Primary practice location

7109 NW 11TH PL
Ste C
Gainesville, FL 32605-3170

Mailing address

7109 NW 11TH PL
Ste C
Gainesville, FL 32605-3170
Phone (352) 331-1773

National Provider Directory

National Provider Directory
Part of
John a Dryfuss Jr MD PA

Locations

7109 NW 11th Pl
Ste C
Gainesville, FL 32605
Phone (352) 331-1773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1215214259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "address_2": "STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170",
            "telephone_number": "352-331-1773",
            "fax_number": "352-331-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 NW 11TH PL",
            "address_2": "STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053170",
            "telephone_number": "352-331-1773",
            "fax_number": "352-331-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A DRYFUSS JR MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN A DRYFUSS JR MD PA",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DRYFUSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D. P.A."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0015017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.