NPIMap

Organization Active NPI

Altamonte Pediatric Associates

  • Pediatrics Physician
  • Altamonte Springs, FL
National Provider Identifier
1669432134
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ALTAMONTE PEDIATRIC ASSOCIATES
Practice address
475 Osceola St
Suite 1100
Altamonte Springs, FL 32701-7857
Phone
(407) 831-6200
Fax
(407) 831-1068
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Wayne Soven, M.D.
Title
Vice President
Phone
(407) 831-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

475 Osceola St
Suite 1100
Altamonte Springs, FL 32701-7857

Mailing address

475 Osceola St
Suite 1100
Altamonte Springs, FL 32701-7857
Phone (407) 831-6200

Other identifiers 1

IdentifierTypeStateIssuer
054254700MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Altamonte Pediatric Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1669432134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OSCEOLA ST",
            "address_2": "SUITE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017857",
            "telephone_number": "407-831-6200",
            "fax_number": "407-831-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OSCEOLA ST",
            "address_2": "SUITE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017857",
            "telephone_number": "407-831-6200",
            "fax_number": "407-831-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "SOVEN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-831-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054254700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.