Organization Active NPI

Stewart M. Dobbins II MD, PA

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1376795302
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME69272 Issued in FL
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

Updated by the provider on Jul 18, 2018

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.NPI 1891785515
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2633426000MedicaidFL

Other names 1

  • Hunters Creek Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.