Organization Active NPI

Beyond Medical

  • General Practice Physician
  • Altamonte Springs, FL
National Provider Identifier
1902302375
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BEYOND MEDICAL
Practice address
460 E Altamonte Dr Ste 2250
Altamonte Springs, FL 32701-4652
Phone
(407) 261-1001
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Danielle ClarkeNPI 1942597430
Title
Member
Phone
(732) 742-4142

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

460 E Altamonte Dr Ste 2250
Altamonte Springs, FL 32701-4652

Mailing address

460 E Altamonte Dr Ste 2250
Altamonte Springs, FL 32701-4652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320001542 FL Part B Supplier - Clinic/Group Practice 4082954599 Receives reassigned benefits from 5 practitioners
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Locations

460 E Altamonte Dr
Ste 2250
Altamonte Springs, FL 32701
Phone (407) 261-1001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1902302375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2250",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2250",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014652",
            "telephone_number": "407-261-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-742-4142"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "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 Apr 3, 2018; 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.