Arbor Medical Group, PLLC
Organization Active NPI Internal Medicine Physician · The Villages, FL
NPI 1609244136 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1609244136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ARBOR MEDICAL GROUP, PLLC
- Practice address
- 1950 Laurel Manor Dr
Building 200, Suite 206
The Villages, FL 32162-5603 - Phone
- (352) 326-8081
- Fax
- (352) 326-5084
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Sumanth Padmanabh, M.D.
- Title
- Owner/Partner
- Phone
- (352) 326-8081
Practitioners 2
-
Patrick Alger, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160202000009 | FL | Part B Supplier - Clinic/Group Practice | 3274837950 |
Receives reassigned benefits from 2 practitioners Practice locations: The Villages, FL |
National Provider Directory
Locations
1950 Laurel Manor Dr
Ste 200
The Villages, FL 32162
Phone (352) 742-2286
1950 Laurel Manor Dr
#20020
The Villages, FL 32162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1950 Laurel Manor Dr
Building 200, Suite 206
The Villages, FL 32162-5603
Mailing address
1950 Laurel Manor Dr
Building 200, Suite 206
The Villages, FL 32162-5603
Phone (352) 326-8081
Other providers in The Villages, FL
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- Valentine Anyiam
- Fadi R Aoun
- Jesus M Apostol
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- Arcadia Health Services, Inc.
- Arcadia Health Services, Inc.
- Lizette Arman Morla
- Jodie A. Armstrong
- Richard P Armstrong
All providers in The Villages, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.