Active NPI
Winter Park Urology Associates PA
- Urology Physician
- Orlando, FL
National Provider Identifier
1396732640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WINTER PARK UROLOGY ASSOCIATES PA
- Practice address
- 1812 N Mills Ave
Orlando, FL 32803-1854 - Phone
- (407) 897-3499
- Fax
- (407) 894-8746
- NPI assigned
- Oct 3, 2005
- 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
- David Vaughan, M.D.
- Title
- Partner
- Phone
- (407) 897-3499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1812 N Mills Ave
Orlando, FL 32803-1854
Mailing address
1812 N Mills Ave
Orlando, FL 32803-1854
Phone (407) 897-3499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611115-00 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
270 Northlake Blvd
Ste 1008
Altamonte Springs, FL 32701
Phone (407) 834-3300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Jacksonville, FL
- NPI 1831185610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263772800000",
"number": "1396732640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031854",
"telephone_number": "407-897-3499",
"fax_number": "407-894-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N MILLS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031854",
"telephone_number": "407-897-3499",
"fax_number": "407-894-8746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINTER PARK UROLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2010-01-18",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "407-897-3499",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0611115-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.