Organization Active NPI

S. Tracy Rhodes, M.D. P.a.

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1588835565
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME60716 Issued in FL
Legal business name
S. TRACY RHODES, M.D. P.A.
Practice address
5526 Lake Howell Rd
Winter Park, FL 32792-1036
Phone
(407) 679-3400
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Tracy Rhodes, M.D.
Title
President
Phone
(407) 679-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME60716 FL Primary

Addresses

Primary practice location

5526 Lake Howell Rd
Winter Park, FL 32792-1036

Mailing address

5474 Lake Howell Rd
Winter Park, FL 32792-1036
Phone (407) 679-3400

National Provider Directory

National Provider Directory

Locations

5526 Lake Howell Rd
Winter Park, FL 32792
Phone (407) 679-3400

Practitioners & affiliated clinicians

Practitioners 1

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1588835565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-679-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 LAKE HOWELL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921036",
            "telephone_number": "407-679-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. TRACY RHODES, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-679-3400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME60716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.