Active NPI
Angelina Deak, D.O
- Family Medicine Physician
- Parrish, FL
National Provider Identifier
1265744973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- UO2248
- Practice address
- 12271 US Highway 301 N
Parrish, FL 34219-8410 - Phone
- (941) 708-7669
- Fax
- (941) 708-8893
- NPI assigned
- Jul 10, 2010
- Last updated
- Jan 24, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | UO2248 | FL | Primary |
Addresses
Primary practice location
12271 US Highway 301 N
Parrish, FL 34219-8410
Mailing address
PO Box 499
Parrish, FL 34219-0499
Phone (941) 708-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005527000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO2248 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physician Network LLC Series II | Current | Accepting new patients |
Locations
1040 River Heritage Blvd
Bradenton, FL 34212
Phone (941) 917-6440
6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678
6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1821518028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1265744973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"city": "PARRISH",
"state": "FL",
"postal_code": "342190499",
"telephone_number": "941-708-7669",
"fax_number": "941-708-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12271 US HIGHWAY 301 N",
"city": "PARRISH",
"state": "FL",
"postal_code": "342198410",
"telephone_number": "941-708-7669",
"fax_number": "941-708-8893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAK",
"first_name": "ANGELINA",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "UO2248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005527000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.