Individual provider Active NPI

James John Hynick, D.O.

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1619958667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-0003683 Issued in FL
Practice address
301 E State Road 434
Longwood, FL 32750-5217
Phone
(407) 339-3524
Fax
(407) 339-3832
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OS-0003683 FL Primary

Addresses

Primary practice location

301 E State Road 434
Longwood, FL 32750-5217

Mailing address

301 E State Road 434
Longwood, FL 32750-5217
Phone (407) 339-3524

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
I20110328000881 FL Practitioner - Family Practice 9830372853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 E State Rd
Suite 434
Longwood, FL 32750-5217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS-0003683FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James J. Hynick, D.O., P.a. Family Medicine CurrentSince Jul 1, 1976 Accepting new patients

Locations

301 E State Road 434
Longwood, FL 32750
Phone (321) 397-2714

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619958667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505217",
            "telephone_number": "407-339-3524",
            "fax_number": "407-339-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505217",
            "telephone_number": "407-339-3524",
            "fax_number": "407-339-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNICK",
        "first_name": "JAMES",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-0003683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.