Organization Active NPI

Ams Medical Group

  • Internal Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1740773753
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMS MEDICAL GROUP
Practice address
736 S Dillard St
Winter Garden, FL 34787-3908
Phone
(407) 395-9557
NPI assigned
Jun 13, 2018
Organization subpart
Yes
Parent organization
AMS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Nidia C Gomez
Title
Office Manager
Phone
(407) 750-8750

Specialties & licenses 1

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

Addresses

Primary practice location

736 S Dillard St
Winter Garden, FL 34787-3908

Mailing address

736 S Dillard St
Winter Garden, FL 34787-3908
Phone (407) 395-9557

Other names 1

  • AMS Medical Group of Winter Garden Doing business as

National Provider Directory

National Provider Directory
Part of
Ams Medical Group

Locations

736 S Dillard St
Winter Garden, FL 34787
Phone (407) 395-9557

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1740773753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873908",
            "telephone_number": "407-395-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S DILLARD ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873908",
            "telephone_number": "407-395-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMS MEDICAL GROUP",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-750-8750"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMS Medical Group of Winter Garden",
            "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 Jun 16, 2018; 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.