Organization Active NPI

John Thomas Littell,M.D.,P.a.

  • Family Medicine Physician
  • Kissimmee, FL
National Provider Identifier
1821199274
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME76131 Issued in FL
Legal business name
JOHN THOMAS LITTELL,M.D.,P.A.
Practice address
300 Park Place Blvd
Kissimmee, FL 34741-2325
Phone
(407) 343-1711
Fax
(407) 343-1611
NPI assigned
Sep 26, 2006
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
John Thomas Littell, M.D.,P.A.NPI 1609896323
Title
Physician
Phone
(407) 343-1711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME76131 FL Primary

Addresses

Primary practice location

300 Park Place Blvd
Kissimmee, FL 34741-2325

Mailing address

300 Park Place Blvd
Kissimmee, FL 34741-2325
Phone (407) 343-1711

Other identifiers 1

IdentifierTypeStateIssuer
256228600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000827 FL Part B Supplier - Clinic/Group Practice 9234135617 Receives reassigned benefits from 2 practitioners
Practice locations: Kissimmee, FL; Ocala, FL

National Provider Directory

National Provider Directory

Locations

300 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 343-1711

1541 SW 1st Ave
Ste 102
Ocala, FL 34471
Phone (352) 414-5990

310 SE 29th Pl
Ocala, FL 34471
Phone (352) 414-5990

1541 SW 1st Ave
Ste 103
Ocala, FL 34471

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1821199274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412325",
            "telephone_number": "407-343-1711",
            "fax_number": "407-343-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARK PLACE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412325",
            "telephone_number": "407-343-1711",
            "fax_number": "407-343-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN THOMAS LITTELL,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "LITTELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-343-1711",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME76131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256228600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.