Organization Active NPI

Lancaster Medical Center PA

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1982882023
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0074845 Issued in FL
Legal business name
LANCASTER MEDICAL CENTER PA
Practice address
713 W Lancaster Rd
Orlando, FL 32809-5994
Phone
(407) 240-9905
Fax
(407) 240-6216
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Dr. Thai Pham, MDNPI 1306869466
Title
Doctor
Phone
(407) 240-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0074845 FL Primary

Addresses

Primary practice location

713 W Lancaster Rd
Orlando, FL 32809-5994

Mailing address

713 W Lancaster Rd
Orlando, FL 32809-5994
Phone (407) 240-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000182 FL Part B Supplier - Clinic/Group Practice 8628157245 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

713 W Lancaster Rd
Orlando, FL 32809
Phone (407) 240-9905

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1982882023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095994",
            "telephone_number": "407-240-9905",
            "fax_number": "407-240-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W LANCASTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328095994",
            "telephone_number": "407-240-9905",
            "fax_number": "407-240-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THAI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-240-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0074845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.