Healthcare Colleagues PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HEALTHCARE COLLEAGUES PA

Practice address

411 Maitland Ave Ste 1001
Altamonte Springs, FL 32701-5448

Phone

(407) 260-2606

NPI assigned

Sep 23, 2022

Last updated

May 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Telleria

Title

Practice Manager

Phone

(407) 260-2606

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• David A Weinstein, M.D.

  • MOHS-Micrographic Surgery Physician
  • Orlando, FL
  • NPI 1194046144

  Dermatology

  Medicare reassignment Care Compare group NPD
• Allison Hock Cassedy, PA-C

  • Physician Assistant
  • Boynton Beach, FL
  • NPI 1083924963
  Medicare reassignment Care Compare group
• Jerri L. Johnson, M.D.

  • Specialist
  • Altamonte Springs, FL
  • NPI 1588648265
  NPD
• Danielle Perna, MD

  • Dermatology Physician
  • Maitland, FL
  • NPI 1952923161

  Single Specialty

  NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1245953215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAITLAND AVE STE 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015448",
            "telephone_number": "407-260-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAITLAND AVE STE 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015448",
            "telephone_number": "407-260-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE COLLEAGUES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "TELLERIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-260-2606"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healthventures LLC
• Healthy Leopard Acupuncture
• Healthy Living Counseling LLC

• Dermatology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.