Advanced Medical Clinic P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81674 Issued in FL

Legal business name

ADVANCED MEDICAL CLINIC P A

Practice address

3347 State RD7
Suite 206
Wellington, FL 33449-8095

Phone

(561) 434-1935

Fax

(561) 434-3169

NPI assigned

Sep 20, 2006

Last updated

Jul 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ishan A Gunawardene, MD

Title

President & Ceo

Phone

(561) 434-1935

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Medical Clinic P.a

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1447413794

  O20051128000225

  Same enrollment

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCCIAA

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1912005182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 STATE ROAD 7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-434-1935",
            "fax_number": "561-434-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 STATE RD7",
            "address_2": "SUITE 206",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498095",
            "telephone_number": "561-434-1935",
            "fax_number": "561-434-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "GUNAWARDENE",
        "authorized_official_first_name": "ISHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "561-434-1935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "33244",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF6667",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Faye Adams, PSY.D.
• Darmaan Osman Aden, M.D., F.A.C.P
• Adolfo Colman MD
• Advanced Breast Care of the Palm Beaches, PA.
• Advanced Endodontics of Wellington
• Advanced Medical Clinic P.a
• Advanced Metropolitan Radiology LLC
• Advanced Psychoeducational Services
• Advent Family Practice, Inc (Advent Family Practice)
• Affordable Medical Clinic of Wellii

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, 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 Jul 2, 2012; 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.