NPIMap

Organization Active NPI

Osceola County Health Dept

  • Physician Assistant
  • Saint Cloud, FL
National Provider Identifier
1396801569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2752 Issued in FL
Legal business name
OSCEOLA COUNTY HEALTH DEPT
Practice address
1050 Grape Ave
Saint Cloud, FL 34769-3965
Phone
(407) 943-7038
Fax
(407) 892-6468
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark A Payne, P.A.
Title
Physician Assitant
Phone
(407) 943-7038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA2752 FL Primary

Addresses

Primary practice location

1050 Grape Ave
Saint Cloud, FL 34769-3965

Mailing address

1875 Boggy Creek Rd
Kissimmee, FL 34744-4428
Phone (407) 943-7038

Other identifiers 1

IdentifierTypeStateIssuer
PA2752OtherFLLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Children's Medical Services185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396801569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 BOGGY CREEK RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444428",
            "telephone_number": "407-943-7038",
            "fax_number": "407-892-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GRAPE AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693965",
            "telephone_number": "407-943-7038",
            "fax_number": "407-892-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSITANT",
        "authorized_official_telephone_number": "407-943-7038",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA2752",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.