Organization Active NPI

Lake Washington Family Practice, PA

  • Family Medicine Physician
  • Rockledge, FL
National Provider Identifier
1780942763
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKE WASHINGTON FAMILY PRACTICE, PA
Doing business as
Suntree Family Practice
Practice address
3140 Suntree Blvd
Suite 5
Rockledge, FL 32955-5789
Phone
(321) 242-7353
Fax
(321) 242-7306
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. James A Aurand, MD
Title
President
Phone
(321) 242-7353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3140 Suntree Blvd
Suite 5
Rockledge, FL 32955-5789

Mailing address

3140 Suntree Blvd
Suite 5
Rockledge, FL 32955-5789
Phone (321) 242-7353

Other names 1

  • Suntree Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

3140 Suntree Blvd
Ste 5
Rockledge, FL 32955
Phone (321) 242-7353

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1780942763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SUNTREE BLVD",
            "address_2": "SUITE 5",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555789",
            "telephone_number": "321-242-7353",
            "fax_number": "321-242-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 SUNTREE BLVD",
            "address_2": "SUITE 5",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555789",
            "telephone_number": "321-242-7353",
            "fax_number": "321-242-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE WASHINGTON FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "AURAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-242-7353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suntree Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.