Organization Active NPI

West Volusia Medical Associates, P.a.

  • Internal Medicine Physician
  • Deland, FL
National Provider Identifier
1962460410
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WEST VOLUSIA MEDICAL ASSOCIATES, P.A.
Practice address
1070 N Stone St
Suite a
Deland, FL 32720-0919
Phone
(386) 943-7100
Fax
(386) 738-2624
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Joseph B De Peyster, M.D.
Title
President
Phone
(386) 943-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1070 N Stone St
Suite a
Deland, FL 32720-0919

Mailing address

1070 N Stone St
Suite a
Deland, FL 32720-0919
Phone (386) 943-7100

National Provider Directory

National Provider Directory

Locations

1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1962460410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-943-7100",
            "fax_number": "386-738-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N STONE ST",
            "address_2": "SUITE A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200919",
            "telephone_number": "386-943-7100",
            "fax_number": "386-738-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VOLUSIA MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "DE PEYSTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-943-7100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.