Organization Active NPI

Jacqueline L. Kaiser M.D., P.a.

  • Colon & Rectal Surgery Physician
  • Winter Park, FL
National Provider Identifier
1649353087
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME 61763 Issued in FL
Legal business name
JACQUELINE L. KAISER M.D., P.A.
Practice address
255 N Lakemont Ave
Suite 100
Winter Park, FL 32792-3229
Phone
(407) 628-1718
Fax
(407) 628-0925
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Jacqueline Levy Kaiser, M.D.
Title
President / Owner
Phone
(407) 628-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X ME 61763 FL Primary

Addresses

Primary practice location

255 N Lakemont Ave
Suite 100
Winter Park, FL 32792-3229

Mailing address

255 N Lakemont Ave
Suite 100
Winter Park, FL 32792-3229
Phone (407) 628-1718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1649353087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N LAKEMONT AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923229",
            "telephone_number": "407-628-1718",
            "fax_number": "407-628-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LAKEMONT AVE",
            "address_2": "SUITE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923229",
            "telephone_number": "407-628-1718",
            "fax_number": "407-628-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE L. KAISER M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LEVY",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "407-628-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME 61763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.