Organization Active NPI

Veda R Vyas MD LLC

  • Specialist
  • Winter Park, FL
National Provider Identifier
1649469008
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0064487 Issued in FL
Legal business name
VEDA R VYAS MD LLC
Practice address
1801 Lee Rd Ste 220
Winter Park, FL 32789-2163
Phone
(407) 740-0383
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Veda R Vyas, MD
Title
Owner
Phone
(407) 740-0383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X ME0064487 FL Primary

Addresses

Primary practice location

1801 Lee Rd Ste 220
Winter Park, FL 32789-2163

Mailing address

1801 Lee Rd Ste 220
Winter Park, FL 32789-2163
Phone (407) 740-0383

Other identifiers 1

IdentifierTypeStateIssuer
373789600MedicaidFL

National Provider Directory

National Provider Directory

Locations

1801 Lee Rd
Ste 220
Winter Park, FL 32789
Phone (407) 740-0383

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1649469008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892163",
            "telephone_number": "407-740-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892163",
            "telephone_number": "407-740-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEDA R VYAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "VEDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-740-0383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0064487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373789600",
            "state": "FL"
        }
    ],
    "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 Sep 4, 2014; 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.