Active NPI
My Endocrinologist PA
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME84429
- Legal business name
- MY ENDOCRINOLOGIST PA
- Practice address
- 213 S Dillard St
Suite 240
Winter Garden, FL 34787-3522 - Phone
- (407) 409-8067
- Fax
- (407) 409-8068
- NPI assigned
- Dec 30, 2010
- 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
- Maribel Montoya, MD
- Title
- Medical Director
- Phone
- (352) 409-7103
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME84429 | FL | Primary |
Addresses
Primary practice location
213 S Dillard St
Suite 240
Winter Garden, FL 34787-3522
Mailing address
213 S Dillard St
Suite 240
Winter Garden, FL 34787-3522
Phone (407) 409-8067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2019651 | My Endocrinologist PA | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
213 S Dillard St
Ste 240
Winter Garden, FL 34787
Phone (407) 409-8067
Practitioners & affiliated clinicians
Practitioners 10
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
- NPI 1477591451
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1114074978
-
- General Practice Physician
- Winter Garden, FL
- NPI 1003228404
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1861174781
-
- Physician Assistant
- Tampa, FL
- NPI 1609348044
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1295729986
Endocrinology, Diabetes & Metabolism
-
- Family Nurse Practitioner
- Clermont, FL
- NPI 1841027067
-
- Endocrinology, Diabetes & Metabolism Physician
- Winter Garden, FL
- NPI 1457363541
-
- Adult Health Nurse Practitioner
- Winter Garden, FL
- NPI 1649606500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407715200000",
"number": "1497059737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"address_2": "SUITE 240",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873522",
"telephone_number": "407-409-8067",
"fax_number": "407-409-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 S DILLARD ST",
"address_2": "SUITE 240",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873522",
"telephone_number": "407-409-8067",
"fax_number": "407-409-8068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY ENDOCRINOLOGIST PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-30",
"last_updated": "2014-08-11",
"status": "A",
"authorized_official_last_name": "MONTOYA",
"authorized_official_first_name": "MARIBEL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "352-409-7103",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME84429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.