NPIMap

Organization Active NPI

Physician Associates LLC

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1790189447
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME87792 Issued in FL
Legal business name
PHYSICIAN ASSOCIATES LLC
Practice address
7350 Sand Lake Commons Blvd
Suite 1102
Orlando, FL 32819-8040
Phone
(407) 355-7478
Fax
(407) 354-2431
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Jennifer Savage
Title
Contracting/Credentialing Director
Phone
(407) 649-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X ME87792 FL Primary

Addresses

Primary practice location

7350 Sand Lake Commons Blvd
Suite 1102
Orlando, FL 32819-8040

Mailing address

235 N Westmonte Dr
Altamonte Springs, FL 32714-3345
Phone (407) 262-5710

Other identifiers 1

IdentifierTypeStateIssuer
010694500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1790189447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N WESTMONTE DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143345",
            "telephone_number": "407-262-5710",
            "fax_number": "407-389-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 SAND LAKE COMMONS BLVD",
            "address_2": "SUITE 1102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198040",
            "telephone_number": "407-355-7478",
            "fax_number": "407-354-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTRACTING/CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "407-649-7412"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME87792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010694500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.