Organization Active NPI

Advanced Care Physicians Group , PA

  • Infectious Disease Physician
  • Seminole, FL
National Provider Identifier
1497196240
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
OS 10525 Issued in FL
Legal business name
ADVANCED CARE PHYSICIANS GROUP , PA
Practice address
9555 Seminole Blvd
Suite 100
Seminole, FL 33772-2562
Phone
(727) 729-9000
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Kingsley Asare, D.ONPI 1619120557
Title
Vice President
Phone
(727) 729-9000

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0200X OS 10525 FL Primary

Addresses

Primary practice location

9555 Seminole Blvd
Suite 100
Seminole, FL 33772-2562

Mailing address

9555 Seminole Blvd
Suite 100
Seminole, FL 33772-2562
Phone (727) 729-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130830000117 FL Part B Supplier - Clinic/Group Practice 4981847514 Receives reassigned benefits from 2 practitioners
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory
Tax ID family
Advanced Care Physicians Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9555 Seminole Blvd
Ste 100
Seminole, FL 33772
Phone (727) 393-2732

750 94th Ave N
Ste 202
St Petersburg, FL 33702
Phone (727) 729-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1497196240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "SUITE 100",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-729-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SEMINOLE BLVD",
            "address_2": "SUITE 100",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337722562",
            "telephone_number": "727-729-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE PHYSICIANS GROUP , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ASARE",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-729-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "OS 10525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.