NPIMap

Organization Active NPI

East West Medical Center Inc

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1376711077
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EAST WEST MEDICAL CENTER INC
Practice address
431 W Vine St
Kissimmee, FL 34741-4189
Phone
(407) 846-2001
Fax
(407) 931-1158
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Ms. Mary Nguyen
Title
Owner
Phone
(407) 873-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

431 W Vine St
Kissimmee, FL 34741-4189

Mailing address

431 W Vine St
Kissimmee, FL 34741-4189
Phone (407) 846-2001

Other identifiers 1

IdentifierTypeStateIssuer
252987400MedicaidFL

National Provider Directory

National Provider Directory

Locations

431 W Vine St
Kissimmee, FL 34741
Phone (407) 846-0044

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1376711077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414189",
            "telephone_number": "407-846-2001",
            "fax_number": "407-931-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414189",
            "telephone_number": "407-846-2001",
            "fax_number": "407-931-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-873-5646",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252987400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.