Pradeep Mathur, M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME38056 Issued in FL

Legal business name

PRADEEP MATHUR, M.D., P.A.

Practice address

999 S Volusia Ave
Orange City, FL 32763-6564

Phone

(386) 775-7001

Fax

(386) 774-2561

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pradeep Mathur, M.D.NPI 1942306022

Title

Owner

Phone

(386) 775-7001

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pradeep Mathur, M.D.

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1942306022
  Authorized official Same address or phone
• Jane K Cornwell, CNP

  • Primary Care Nurse Practitioner
  • Carlsbad, NM
  • NPI 1659362655
  NPD (past)
• Rita K. King, FNP

  • Family Nurse Practitioner
  • Pigeon Forge, TN
  • NPI 1134199391
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1588855431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636564",
            "telephone_number": "386-775-7001",
            "fax_number": "386-774-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327636564",
            "telephone_number": "386-775-7001",
            "fax_number": "386-774-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADEEP MATHUR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-775-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME38056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Marie Plumley, APRN
• Stefanie Polanco, OTR/L
• Timothy D Poppell, DMD
• Christy Powell, NP
• Prachi Gandhi, DO PA
• Diane Prado
• PRC Associates LLC
• Precision Home Care Agency Inc.
• Preferred Injury Physicians of Orange City
• Amber Presa-Smalley

• Internal Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.