Physician Next Door

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PHYSICIAN NEXT DOOR

Doing business as

physician Next Door Poinciana

Practice address

339 Cypress Pkwy Ste 110
Kissimmee, FL 34759-3315

Phone

(407) 343-0542

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICIAN NEXT DOORAs reported in NPPES

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

Authorized official

Name

Jackie Fuentes

Title

Billing Manager

Phone

(786) 546-3714

Specialties & licenses 2

Addresses

Other names 1

• physician Next Door Poinciana Doing business as

Tax ID family

Physician Next Door LLC2 organizations share this tax ID, including this one

Part of

Physician Next Door LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physician Next Door, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Orlando, FL
  • NPI 1114336740
  NPD tax ID

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1952768582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 S ALAFAYA TRL # 128",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288732",
            "telephone_number": "407-343-0542",
            "fax_number": "407-343-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CYPRESS PKWY STE 110",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593315",
            "telephone_number": "407-343-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN NEXT DOOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN NEXT DOOR",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "786-546-3714"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "physician Next Door Poinciana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Associates LLC
• Physician Partners Medical Group LLC
• Physician Surgical Network Inc. (Central Florida Arthritis And Osteoporosis Center)
• Physician's Care of Poinciana, LLC
• Physician's Care Partners, Inc.
• Physician's Choice Home Health Services,Inc

• Health Maintenance Organization in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.