NPIMap

Organization Active NPI

Medical Home Alliance LLC

  • Internal Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1649926239
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICAL HOME ALLIANCE LLC
Practice address
14035 W Colonial Dr
Winter Garden, FL 34787-6037
Phone
(407) 845-0330
Fax
(888) 972-1752
NPI assigned
Feb 23, 2022
Organization subpart
Yes
Parent organization
MEDICAL HOME ALLIANCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Vanessa Hourihan
Title
VP of Revenue
Phone
(407) 845-0322

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

14035 W Colonial Dr
Winter Garden, FL 34787-6037

Mailing address

6675 Westwood Blvd Ste 475
Orlando, FL 32821-6027
Phone (407) 845-0330

Other practice location 1

10008 N Dale Mabry Hwy Ste 110
Tampa, FL 33618-4424
Phone (407) 845-0330

Other practice location 2

5850 SE 5th St Unit 101
Ocala, FL 34472-1200
Phone (407) 845-0330

Other practice location 3

1190 E Church St
Bartow, FL 33830-4117
Phone (407) 845-0330

Other names 1

  • IMA Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Home Alliance LLC37 organizations share this tax ID, including this one
Part of
Medical Home Alliance LLC

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

10008 N Dale Mabry Hwy
Ste 110
Tampa, FL 33618

14035 W Colonial Dr
Winter Garden, FL 34787

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1649926239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14035 W COLONIAL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876037",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10008 N Dale Mabry Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336184424",
            "country_code": "US",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5850 SE 5th St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344721200",
            "country_code": "US",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1190 E Church St",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338304117",
            "country_code": "US",
            "telephone_number": "407-845-0330",
            "fax_number": "888-972-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL HOME ALLIANCE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL HOME ALLIANCE LLC",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "HOURIHAN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "VP OF REVENUE",
        "authorized_official_telephone_number": "407-845-0322"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMA Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.