Primary Care of Orlando, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71184 Issued in FL

Legal business name

PRIMARY CARE OF ORLANDO, INC.

Practice address

5308 S John Young Pkwy
Suite 100
Orlando, FL 32839-7362

Phone

(407) 857-2144

Fax

(407) 857-9366

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Jaseem A Khan, MDNPI 1548351455

Title

President

Phone

(407) 857-2144

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Jaseem Ahmed Khan, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1548351455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1932221504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 S JOHN YOUNG PKWY",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397362",
            "telephone_number": "407-857-2144",
            "fax_number": "407-857-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 S JOHN YOUNG PKWY",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328397362",
            "telephone_number": "407-857-2144",
            "fax_number": "407-857-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF ORLANDO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "JASEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-857-2144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250895800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Prieto
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• Primary Care Nurse Practitioners (At Home Nurse Practitioners)
• Primary Care of Central Florida Inc
• Primary Care Pediatrics, P.a.
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC
• Primary Care Specialists LLC

• Internal Medicine Physician in Orlando, FL
• Providers in Orlando, 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 Nov 7, 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.