NPIMap

Organization Active NPI

Altamonte Medical Associate, P.a.

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1508990334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALTAMONTE MEDICAL ASSOCIATE, P.A.
Practice address
631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854
Phone
(407) 339-5600
Fax
(407) 339-5602
NPI assigned
Mar 15, 2007
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
Dr. Gary Sturn, M.D.NPI 1649284878
Title
President
Phone
(407) 339-5600

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854

Mailing address

631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854
Phone (407) 339-5600

National Provider Directory

National Provider Directory
Tax ID family
Altamonte Medical Assoc2 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.

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508990334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR",
            "address_2": "SUITE 117",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-339-5600",
            "fax_number": "407-339-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR",
            "address_2": "SUITE 117",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-339-5600",
            "fax_number": "407-339-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE MEDICAL ASSOCIATE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STURN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-339-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, 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.