Individual provider Active NPI

Gene Anton Truchelut, MD

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1568536076
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0031674 Issued in FL
Practice address
727 Vassar St
Orlando, FL 32804-4920
Phone
(407) 849-0330
Fax
(407) 849-0351
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0031674 FL Primary

Addresses

Primary practice location

727 Vassar St
Orlando, FL 32804-4920

Mailing address

727 Vassar St
Orlando, FL 32804-4920
Phone (407) 849-0330

Other identifiers 1

IdentifierTypeStateIssuer
069549100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0031674FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1568536076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 VASSAR ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044920",
            "telephone_number": "407-849-0330",
            "fax_number": "407-849-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 VASSAR ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044920",
            "telephone_number": "407-849-0330",
            "fax_number": "407-849-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCHELUT",
        "first_name": "GENE",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0031674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069549100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.