Organization Active NPI

David Teitelbaum MD PA

  • Obstetrics & Gynecology Physician
  • Oviedo, FL
National Provider Identifier
1912029034
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME42346 Issued in FL
Legal business name
DAVID TEITELBAUM MD PA
Practice address
1000 Executive Dr
Suite 5
Oviedo, FL 32765-8140
Phone
(407) 365-2929
Fax
(407) 365-8518
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Teitelbaum, M.D.
Title
President
Phone
(407) 365-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X ME42346 FL Primary

Addresses

Primary practice location

1000 Executive Dr
Suite 5
Oviedo, FL 32765-8140

Mailing address

1000 Executive Dr
Suite 5
Oviedo, FL 32765-8140
Phone (407) 365-2929

National Provider Directory

National Provider Directory

Locations

1000 Executive Dr
Ste 5
Oviedo, FL 32765
Phone (407) 365-2929

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912029034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE DR",
            "address_2": "SUITE 5",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658140",
            "telephone_number": "407-365-2929",
            "fax_number": "407-365-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EXECUTIVE DR",
            "address_2": "SUITE 5",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658140",
            "telephone_number": "407-365-2929",
            "fax_number": "407-365-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TEITELBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-365-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME42346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.