Individual provider Active NPI

John W Treharne, MD

  • Family Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1568415503
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME33104 Issued in FL
Practice address
1340 Tuskawilla Rd
Suite 101-105
Winter Springs, FL 32708-5030
Phone
(407) 699-1160
Fax
(407) 699-7861
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME33104 FL Primary

Addresses

Primary practice location

1340 Tuskawilla Rd
Suite 101-105
Winter Springs, FL 32708-5030

Mailing address

1340 Tuskawilla Rd
Suite 101-105
Winter Springs, FL 32708-5030
Phone (407) 699-1160

Other identifiers 3

IdentifierTypeStateIssuer
53556OtherFLBCBS
080095082OtherRAILROAD MEDICARE
046704900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000396 FL Practitioner - Family Practice 0042354714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME33104FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Oct 1, 1998 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 1, 1998 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine Past Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1723 Lucerne Ter
Orlando, FL 32806
Phone (407) 303-3711

1340 Tuskawilla Rd
Ste 101105
Winter Springs, FL 32708
Phone (407) 699-1160

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1568415503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 TUSKAWILLA RD",
            "address_2": "SUITE 101-105",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085030",
            "telephone_number": "407-699-1160",
            "fax_number": "407-699-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 TUSKAWILLA RD",
            "address_2": "SUITE 101-105",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085030",
            "telephone_number": "407-699-1160",
            "fax_number": "407-699-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREHARNE",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53556",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080095082",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046704900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.