A Gupta MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0073977 Issued in FL

Legal business name

A GUPTA MD PA

Practice address

3300 W Lake Mary Blvd
Lake Mary, FL 32746-3570

Phone

(407) 321-7111

Fax

(407) 321-7446

NPI assigned

May 14, 2009

Last updated

May 14, 2009By 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. Anita Gupta, MDNPI 1457332868

Title

President

Phone

(407) 321-7111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Anita Gupta, MD

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1457332868
  Medicare reassignment NPD Authorized official
• Olivia Laurel Stolz, PA-C

  • Physician Assistant
  • Deland, FL
  • NPI 1336610856
  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1962636217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463570",
            "telephone_number": "407-321-7111",
            "fax_number": "407-321-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463570",
            "telephone_number": "407-321-7111",
            "fax_number": "407-321-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GUPTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-321-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0073977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 100 Chiro Dehaven PLLC
• 710 N Sun Dr Opco LLC (Aviata at Lake Mary)
• 710 North Sun Drive Operations LLC (Lake Mary Health and Rehabilitation Center)
• A H VS LLC
• A Helping Hands Physicians Group LLC
• A1A Transport LLC
• A3I, Inc.
• Alexander Abate

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.