Active NPI
Stewart M. Dobbins II MD, PA
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1376795302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME69272
- Legal business name
- STEWART M. DOBBINS II MD, PA
- Practice address
- 12554 S John Young Pkwy
Suite 102
Orlando, FL 32837 - Phone
- (407) 856-9966
- Fax
- (407) 816-2214
- NPI assigned
- Oct 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stewart M Dobbins II, M.D.
- Title
- Owner/Physician
- Phone
- (407) 856-9966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME69272 | FL | Primary |
Addresses
Primary practice location
12554 S John Young Pkwy
Suite 102
Orlando, FL 32837
Mailing address
12554 S John Young Pkwy
Suite 102
Orlando, FL 32837-4004
Phone (407) 856-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2633426000 | Medicaid | FL |
Other names 1
- Hunters Creek Pediatrics
National Provider Directory
National Provider DirectoryLocations
12554 S John Young Pkwy
Ste 102
Orlando, FL 32837
Phone (407) 856-9966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1891785515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531872000000",
"number": "1376795302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12554 S JOHN YOUNG PKWY",
"address_2": "SUITE 102",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374004",
"telephone_number": "407-856-9966",
"fax_number": "407-816-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12554 S JOHN YOUNG PKWY",
"address_2": "SUITE 102",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32837",
"telephone_number": "407-856-9966",
"fax_number": "407-816-2214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWART M. DOBBINS II MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-22",
"last_updated": "2018-07-18",
"status": "A",
"authorized_official_last_name": "DOBBINS",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "407-856-9966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME69272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2633426000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hunters Creek Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.