Private Health MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME59499 Issued in FL

Legal business name

PRIVATE HEALTH MD PA

Practice address

300 N Pennsylvania Ave
Winter Park, FL 32789-3773

Phone

(407) 628-1081

Fax

(407) 628-1806

NPI assigned

Sep 6, 2007

Last updated

Jun 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Castro, MDNPI 1528171394

Title

Owner

Phone

(407) 670-9868

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Ivan Jose Castro, MD

  • Internal Medicine Physician
  • Winter Park, FL
  • NPI 1528171394
  NPD Authorized official
• Christopher Jared Duplain, DO

  • Internal Medicine Physician
  • Clermont, FL
  • NPI 1255918512
  NPD
• Lauren Krauser Shepherd, APRN

  • Family Nurse Practitioner
  • Winter Park, FL
  • NPI 1740873082
  NPD

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1427243062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893773",
            "telephone_number": "407-628-1081",
            "fax_number": "407-628-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PENNSYLVANIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893773",
            "telephone_number": "407-628-1081",
            "fax_number": "407-628-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE HEALTH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-670-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M. Prieto, AP
• Corey Priewe, PA
• Alyssa Amber Prinzi, MA, CCC-SLP
• Rudina X. Priska, MD
• Prisma Wellness Florida LLC
• Professional Communication Services, Inc.
• Professional Counseling Sservices
• Professional Therapeutic Care Center,LLC
• Zahra G Promes, MD
• Promise Home Care LLC

• Internal Medicine Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.