Organization Active NPI

Altamonte Medical Associates PA

  • Internal Medicine Physician
  • Altamonte Springs, FL
National Provider Identifier
1720095326
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALTAMONTE MEDICAL ASSOCIATES PA
Practice address
631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854
Phone
(407) 339-5600
Fax
(407) 339-5602
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Dr. Gary Sturn, M.D.NPI 1649284878
Title
President
Phone
(407) 339-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854

Mailing address

631 Palm Springs Dr
Suite 117
Altamonte Springs, FL 32701-7854
Phone (407) 339-5600

Other identifiers 3

IdentifierTypeStateIssuer
1649284878OtherFLNPI
1700807062OtherFLNPI
1255352506OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040903000816 FL Part B Supplier - Clinic/Group Practice 2668448317 Receives reassigned benefits from 3 practitioners
Practice locations: Altamonte Springs, FL; Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1004520Altamonte Medical Associates PA631 Palm Springs Dr #117, Altamonte Springs, FL 32701Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Altamonte Medical Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

631 Palm Springs Dr
Ste 117
Altamonte Springs, FL 32701
Phone (407) 339-5600

499 E Central Pkwy
Ste 115
Altamonte Springs, FL 32701
Phone (407) 463-3263

1864 N Alafaya Trl
Ste B
Orlando, FL 32826
Phone (407) 384-1414

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1720095326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR",
            "address_2": "SUITE 117",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-339-5600",
            "fax_number": "407-339-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PALM SPRINGS DR",
            "address_2": "SUITE 117",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017854",
            "telephone_number": "407-339-5600",
            "fax_number": "407-339-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "STURN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-339-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649284878",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700807062",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255352506",
            "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 Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.