Organization Active NPI

Physician Associates LLC

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1801228002
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79030 Issued in FL
Legal business name
PHYSICIAN ASSOCIATES LLC
Practice address
2101 Park Center Dr
Suite 130
Orlando, FL 32835-7626
Phone
(407) 985-1670
Fax
(407) 985-1668
NPI assigned
Jul 30, 2013
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
Dennis J. Buhring
Title
President/Authorized Official
Phone
(407) 262-5715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME79030 FL Primary

Addresses

Primary practice location

2101 Park Center Dr
Suite 130
Orlando, FL 32835-7626

Mailing address

235 N Westmonte Dr
Altamonte Springs, FL 32714-3345

Other identifiers 1

IdentifierTypeStateIssuer
062757700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1801228002",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR",
            "address_2": "SUITE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357626",
            "telephone_number": "407-985-1670",
            "fax_number": "407-985-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "BUHRING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "407-262-5715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062757700",
            "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.