PHYSICIAN ASSOCIATES LLC (NPI# 1245662212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245662212 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSOCIATES LLC |
| Practice Address |
719 Rodel Cv Suite 1015 Lake Mary FL 32746-5716 |
| Mailing Address |
235 N Westmonte Dr Altamonte Springs FL 32714-3345 |
| Practice Telephone | 4073304690 |
| Practice Fax Number | 4073023133 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2017-10-04 |
| Authorized Official Name | DENNIS J. BUHRING (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 4072625715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME67849 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062757724 | 05 | |
| FL | 062757700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356834592 | Physician Associates LLC | Pediatrics | 4757 The Grove Dr Ste 250, Windermere, FL 34786-8426 | 2018-06-12 |
| 1679061055 | Physician Associates LLC | Obstetrics & Gynecology | 17000 Porter Road, Winter Garden, FL 34787 | 2018-05-01 |
| 1861980229 | Physician Associates LLC | Family Medicine | 21 Columbia St Ste 200, Orlando, FL 32806-1133 | 2018-05-01 |
| 1215425780 | Physician Associates LLC | Obstetrics & Gynecology | 1135 E Sr 434 Fl 1, Winter Springs, FL 32708-2746 | 2018-04-30 |
| 1730677204 | Physician Associates LLC | Obstetrics & Gynecology | 4932 Sr 46 Ste 1090, Sanford, FL 32771-9244 | 2018-04-30 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1235632548 | Physician Associates LLC | Obstetrics & Gynecology | 1578 W Orange Blossom Trl, Apopka, FL 32712-2639 | 2018-03-13 |
| 1215441712 | Physician Associates LLC | Obstetrics & Gynecology | 1435 Division Ave, Ocoee, FL 34761-2974 | 2017-11-21 |
| 1912417288 | Physician Associates LLC | Pediatrics | 4020 Winter Garden Vineland Rd, Winter Garden, FL 34787-9502 | 2017-10-02 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| Street Address |
719 RODEL CV SUITE 1015 |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264427 | Deborah A. Brown | Advanced Practice Midwife | 719 Rodel Cv, Suite 1015, Lake Mary, FL 32746-5716 | 2006-05-20 |
| 1881061083 | Physician Associates LLC | Podiatrist | 719 Rodel Cv, Suite 2001, Lake Mary, FL 32746-5716 | 2015-08-24 |
| 1841675501 | Rebecca Ellen Williams | Advanced Practice Midwife | 719 Rodel Cv, Suite 1015, Lake Mary, FL 32746-5716 | 2015-07-23 |
| 1578895066 | Kristen Renee Ward | Advanced Practice Midwife | 719 Rodel Cv, Lake Mary, FL 32746-5716 | 2010-02-08 |
| 1902063456 | The Childrens Center LLC | Pediatrics | 719 Rodel Cv, Suite 2001, Lake Mary, FL 32746-5716 | 2008-05-21 |
| 1417140344 | Grace Evelyn Collupy | Advanced Practice Midwife | 719 Rodel Cv, Lake Mary, FL 32746-5716 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209991 | Earl Brewster Md Pa | Obstetrics & Gynecology | 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 | 2020-03-06 |
| 1952354730 | Goss, Parker & Quinsey, P.a. | Obstetrics & Gynecology | 785 Primera Boulevard, Suite 1031, Lake Mary, FL 32746-2124 | 2006-05-19 |
| 1154373033 | David L Goss | Obstetrics & Gynecology | 785 Primera Blvd Ste 1031, Lake Mary, FL 32746-2124 | 2006-05-17 |
| 1003807082 | Gregory A. Zittel | Obstetrics & Gynecology | 719 Rodel Cv Ste 1015, Lake Mary, FL 32746-5716 | 2005-10-31 |
| 1740275361 | Mardi Jane Bishop | Obstetrics & Gynecology | 1319 S International Pkwy, Suite 1151, Lake Mary, FL 32746-1408 | 2005-09-20 |
| 1588658579 | Stacey L Sensor | Obstetrics & Gynecology | 1071 S Sun Dr Ste 1043, Lake Mary, FL 32746-2573 | 2005-09-06 |
| 1447556881 | Udita Jahagirdar Md Pa | Obstetrics & Gynecology | 101 N 8th St, Ste1001, Lake Mary, FL 32746-3101 | 2011-02-02 |
| 1952605537 | Christopher K Quinsey Md Pa | Obstetrics & Gynecology | 2500 W Lake Mary Blvd, Suite 204, Lake Mary, FL 32746-3501 | 2010-12-22 |
| 1568793297 | Alicia Gamble Mcloone | Obstetrics & Gynecology | 785 Primera Blvd, Suite# 1031, Lake Mary, FL 32746-2124 | 2010-01-20 |
| 1386975225 | Sonia Marie Raab | Obstetrics & Gynecology | 785 Primera Blvd, Suite# 1031, Lake Mary, FL 32746 | 2010-01-15 |
| Find all providers in LAKE MARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.