Your Doctor's Office, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0062671 Issued in FL

Legal business name

YOUR DOCTOR'S OFFICE, INC.

Practice address

800 S Nova Rd
Suite a
Ormond Beach, FL 32174-9048

Phone

(386) 676-0505

Fax

(386) 676-0788

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By 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. Dannie E. Buck, M. D.NPI 1366525750

Title

President

Phone

(386) 676-0505

Specialties & licenses 1

Addresses

Other identifiers 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.

• Dannie Earl Buck, M.D.

  • Internal Medicine Physician
  • Ormond Beach, FL
  • NPI 1366525750
  Authorized official Same address or phone

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1982985826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730607",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321730607",
            "telephone_number": "386-676-0505",
            "fax_number": "386-676-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S NOVA RD",
            "address_2": "SUITE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749048",
            "telephone_number": "386-676-0505",
            "fax_number": "386-676-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DOCTOR'S OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-676-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0062671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371526400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifton Thor Yott, LMT
• Erik Young, M.ED, LPC, LMHC
• Jennifer Lynn Young, DPT
• Roger Oliver Young, L.M.T.
• Stacy Lynn Young, MSN, APRN, FNP-C
• Rachael Zaharios, RD
• Mina B Zahedi, MD
• Deborah Leigh Zahn, MSR, CCC-SLP
• John Zak III, M.D.
• Maria Zakhary, DMD

• Internal Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, 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 Sep 6, 2011; 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.