Medical Associates, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME70992 Issued in FL

Legal business name

MEDICAL ASSOCIATES, P.A.

Practice address

200 N John Young Pkwy
Ste 101
Kissimmee, FL 34741-6601

Phone

(407) 944-1800

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Irfan Siddique, MD

Title

Physician

Phone

(407) 944-1800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1811137672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY",
            "address_2": "STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416601",
            "telephone_number": "407-944-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N JOHN YOUNG PKWY",
            "address_2": "STE 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347416601",
            "telephone_number": "407-944-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-944-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250988100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medcare Xpress Walk-in Clinic of Kissimmee,LLC
• Medex Pros, LLC
• Medfund LLC
• Medglam Aesthetics LLC
• Medical Associates of Greater Orlando
• Medical Clinic of Osceola LLC
• Medical Eye Associates
• Medical Eye Associates Inc
• Medical Golden Clinic LLC
• Medical Home Alliance LLC

• Internal Medicine Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.