Antoniou Family Medicine, S.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036098315 Issued in IL

Legal business name

ANTONIOU FAMILY MEDICINE, S.C.

Practice address

1601 SW Archer Rd
Gainesville, FL 32608-1135

Phone

(352) 376-1611

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nikolas Antoniou, M.D.NPI 1487683793

Title

President

Phone

(630) 240-5779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikolas J. Antoniou, M.D.

  • Family Medicine Physician
  • Gurnee, IL
  • NPI 1487683793
  NPD (past) Authorized official

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1396974226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-376-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081135",
            "telephone_number": "352-376-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIOU FAMILY MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "ANTONIOU",
        "authorized_official_first_name": "NIKOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-240-5779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036098315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI THAT NEEDS THE ADDRESS UPDATED TO GAINESVILLE FL. THANK YOU",
            "identifier": "1487683793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Antley, LMT
• Shelby Ann Anton, MD
• Stephen Anton
• Patrick J. Antonelli, MD
• James Antonios, MD
• Alexander Antoniou, M.D.
• Ajay Berry Antony, M.D.
• Udochukwu Collins Anwaegbu
• Apd - Tacachale
• Apd - Tacachale

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.