NPIMap

Organization Active NPI

Ahp of Altamonte Springs LLC

  • Anesthesiology Physician
  • Altamonte Springs, FL
National Provider Identifier
1861646515
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AHP OF ALTAMONTE SPRINGS LLC
Practice address
623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701-6823
Phone
(407) 830-8661
NPI assigned
Nov 7, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Gregory Wachowiak
Title
Manager
Phone
(770) 945-5330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701-6823

Mailing address

PO Box 740209
Dept 40216
Atlanta, GA 30374-0209

National Provider Directory

National Provider Directory

Locations

623 Maitland Ave
Ste 1100
Altamonte Springs, FL 32701
Phone (407) 478-0871

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1861646515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPT 40216",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAITLAND AVE",
            "address_2": "STE 1100",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016823",
            "telephone_number": "407-830-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHP OF ALTAMONTE SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "WACHOWIAK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-945-5330"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.