Organization Active NPI

Effinger Health, PA

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1629515325
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11271 Issued in FL
Legal business name
EFFINGER HEALTH, PA
Practice address
1891 Capital Cir NE Ste 9
Tallahassee, FL 32308-4486
Phone
(888) 698-2714
Fax
(888) 698-2714
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Mr. William Lantz Effinger, D.O.NPI 1225327380
Title
Director/Physician
Phone
(888) 698-2714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS11271 FL Primary

Addresses

Primary practice location

1891 Capital Cir NE Ste 9
Tallahassee, FL 32308-4486

Mailing address

1891 Capital Cir NE Ste 9
Tallahassee, FL 32308-4486
Phone (888) 698-2714

Other practice location 1

3101 Ginger Dr # 229
Tallahassee, FL 32308-4437
Phone (888) 698-2714

Other identifiers 1

IdentifierTypeStateIssuer
003429700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170621002500 FL Part B Supplier - Clinic/Group Practice 5799053476 Receives reassigned benefits from 4 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1891 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 877-8855

3101 Ginger Dr
#229
Tallahassee, FL 32308
Phone (888) 698-2714

1891 Capital Cir NE
Ste 9
Tallahassee, FL 32308
Phone (682) 217-5757

3101 Ginger Dr
Ste 229
Tallahassee, FL 32308

3101 Ginger Dr
Rm 229
Tallahassee, FL 32308
Phone (888) 698-2714

Practitioners & affiliated clinicians

Practitioners 5

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": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1629515325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 CAPITAL CIR NE STE 9",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084486",
            "telephone_number": "888-698-2714",
            "fax_number": "888-698-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 CAPITAL CIR NE STE 9",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084486",
            "telephone_number": "888-698-2714",
            "fax_number": "888-698-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Ginger Dr # 229",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084437",
            "country_code": "US",
            "telephone_number": "888-698-2714",
            "fax_number": "888-698-2714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EFFINGER HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "EFFINGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LANTZ",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "888-698-2714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003429700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.