Dycus Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0008481 Issued in FL

Legal business name

DYCUS FAMILY MEDICINE, PA

Practice address

30 Windsormere Way
Suite 100
Oviedo, FL 32765-6512

Phone

(407) 706-6688

Fax

(407) 706-6691

NPI assigned

Nov 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Richard Kerr Dycus, DONPI 1487629523

Title

Owner Operator

Phone

(407) 706-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Kerr Dycus II, DO

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1487629523
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1629355532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WINDSORMERE WAY",
            "address_2": "SUITE 100",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656512",
            "telephone_number": "407-706-6688",
            "fax_number": "407-706-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WINDSORMERE WAY",
            "address_2": "SUITE 100",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656512",
            "telephone_number": "407-706-6688",
            "fax_number": "407-706-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYCUS FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "DYCUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KERR",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "407-706-6688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perri L Dumbacher, MD
• Ryan Jeffrey Dunlevy, DPT
• Gabriel Dunn
• Marqase Dunnell
• Rodolfo Flores Dy II, MPT, ATC
• Richard Kerr Dycus II, DO
• E-Psychotherapy Associates Inc
• Eagle Eye Clinic, PA
• Earnest Emergency Physicians, LLC
• Erica Easter, AP

• Family Medicine Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.