Active NPI
Jacqueline L. Kaiser M.D., P.a.
- Colon & Rectal Surgery Physician
- Winter Park, FL
National Provider Identifier
1649353087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- ME 61763
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 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 DirectoryNPI 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.