Deanna K Springer M D P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81902 Issued in FL

Legal business name

DEANNA K SPRINGER M D P A

Practice address

1425 Hand Ave
Suite E
Ormond Beach, FL 32174-1135

Phone

(386) 672-4939

Fax

(386) 672-5656

NPI assigned

Oct 16, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deanna Kingsley Springer, MD

Title

Owner

Phone

(386) 672-4939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1689863656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "address_2": "SUITE E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741135",
            "telephone_number": "386-672-4939",
            "fax_number": "386-672-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HAND AVE",
            "address_2": "SUITE E",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741135",
            "telephone_number": "386-672-4939",
            "fax_number": "386-672-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA K SPRINGER M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-672-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.