Adventhealth Senior Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADVENTHEALTH SENIOR CARE INC

Doing business as

AdventHealth Senior Care

Practice address

1030 W Canton Ave Ste G100
Winter Park, FL 32789-3050

Phone

(407) 901-4086

NPI assigned

Sep 25, 2020

Last updated

Jul 7, 2023By 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

Mr. Bryan Stiltz

Title

President

Phone

(407) 357-2570

Specialties & licenses 4

Addresses

Other names 1

• AdventHealth Senior Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 38

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.

• Amanda Faye Adkins, ARNP-C

  • Nurse Practitioner
  • Port Orange, FL
  • NPI 1104007376
  Medicare reassignment Care Compare group NPD
• Marie A Brister, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1811928120
  Medicare reassignment Care Compare group NPD
• Christina Brianne Cherry, DO

  • Family Medicine Physician
  • Sanford, FL
  • NPI 1720441637
  Medicare reassignment Care Compare group NPD
• Joyce Michelle Cortes, M.D.

  • Internal Medicine Physician
  • Apopka, FL
  • NPI 1881883478
  Medicare reassignment Care Compare group NPD
• Benjamin James Cottrell, DO

  • Family Medicine Physician
  • Zephyrhills, FL
  • NPI 1043833007
  Medicare reassignment Care Compare group NPD
• Kimberley Dorene Evans, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Clearwater, FL
  • NPI 1396840500
  Medicare reassignment Care Compare group NPD
• Juliana Giraldo-Ramirez

  • Internal Medicine Physician
  • Oviedo, FL
  • NPI 1386176030
  Medicare reassignment Care Compare group NPD
• Maria Rosaida Gonzalez, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Altamonte Springs, FL
  • NPI 1730396896
  Medicare reassignment Care Compare group NPD
• Jose Dionisio Gutierrez Holguin, MD

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1942428826
  Medicare reassignment Care Compare group NPD
• Samantha Hughes

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1477064509
  Medicare reassignment Care Compare group NPD
• Natasha Jairam, MD

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1437507043
  Medicare reassignment Care Compare group NPD
• Yuchen Jiang, MD

  • Internal Medicine Physician
  • Altamonte Springs, FL
  • NPI 1417560897
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1336756204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOPE WAY",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W CANTON AVE STE G100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893050",
            "telephone_number": "407-901-4086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2954 Mallory Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347471822",
            "country_code": "US",
            "telephone_number": "407-238-0137",
            "fax_number": "407-238-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2690 S Orlando Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327735339",
            "country_code": "US",
            "telephone_number": "407-200-0547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12880 US Highway 301",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335255801",
            "country_code": "US",
            "telephone_number": "813-492-5732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 E Altamonte Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014403",
            "country_code": "US",
            "telephone_number": "407-349-7917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 N Williamson Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321177214",
            "country_code": "US",
            "telephone_number": "386-259-6026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2906 David Walker Dr",
            "address_purpose": "LOCATION",
            "city": "Eustis",
            "state": "FL",
            "postal_code": "327266177",
            "country_code": "US",
            "telephone_number": "352-363-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVENTHEALTH SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "STILTZ",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-357-2570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdventHealth Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AdventHealth Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.