Organization Active NPI

Primary Care Specialists LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1215910864
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE SPECIALISTS LLC
Practice address
3100 S Conway Rd
Orlando, FL 32812-7331
Phone
(407) 380-2216
Fax
(407) 380-2710
NPI assigned
Nov 28, 2005
Organization subpart
Yes
Parent organization
PRIMARY CARE SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Gerald J Kivett, MD
Title
Partner
Phone
(407) 275-9014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3100 S Conway Rd
Orlando, FL 32812-7331

Mailing address

3100 S Conway Rd
Orlando, FL 32812-7331
Phone (407) 380-2216

National Provider Directory

National Provider Directory
Part of
Primary Care Specialist

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1215910864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127331",
            "telephone_number": "407-380-2216",
            "fax_number": "407-380-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S CONWAY RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127331",
            "telephone_number": "407-380-2216",
            "fax_number": "407-380-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE SPECIALISTS LLC",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KIVETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-275-9014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 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.