GOOD SHEPHERD PRIMARY CARE, P.A.
NPI 1306048343
Family Medicine in Orlando, FL

NPI Status: Active since June 01, 2007

Contact Information

1170 S SEMORAN BLVD
SUITE D
ORLANDO, FL
ZIP 32807
Phone: (407) 282-4142
Fax: (407) 282-7475

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  • Organization
  • Family Medicine

About GOOD SHEPHERD PRIMARY CARE, P.A.

This page provides the complete NPI Profile along with additional information for Good Shepherd Primary Care, P.a., a primary care provider established in Orlando, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1306048343 assigned on June 2007. The practitioner's primary taxonomy code is 207Q00000X with license number ME0066465 (FL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Maribel Aviles Md (President)

NPI
1306048343
Provider Name
GOOD SHEPHERD PRIMARY CARE, P.A.
Entity Type
Organization
Location Address
1170 S SEMORAN BLVD SUITE D ORLANDO, FL 32807
Location Phone
(407) 282-4142
Location Fax
(407) 282-7475
Mailing Address
1170 S SEMORAN BLVD SUITE D ORLANDO, FL 32807
Mailing Phone
(407) 282-4142
Mailing Fax
(407) 282-7475
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2007
Last Update Date
07-18-2007
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A primary care provider (PCP) like Good Shepherd Primary Care, P.a. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME0066465
License State
FL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARIBEL AVILES MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(407) 282-4142

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F40961MEDICARE UPIN (02)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306048343
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2306041638
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 0 + 4 + 1 + 6 + 3 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1306048343 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346494598MISS RHONDEVIA LA RAE HOLMES LMT
Individual
Student in an Organized Health Care Education/Training Program1170 S SEMORAN BLVD
ORLANDO, FL 32807
(321) 794-3229
1689806572 JASMIN GRISEL CASTILLO PAC
Individual
Physician Assistant (Medical)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1760648273ADVANCED INTERVENTIONAL PAIN CLINIC LLC
Organization
Pain Medicine (Interventional Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1144649823FLORIDA PAIN & REHABILITATION INSTITUTE INC
Organization
Pain Medicine (Interventional Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1780851543DR. NAM-KHA PHAM M.D.
Individual
Pain Medicine (Interventional Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1609803832 ALBERTO RIVERA SANCHEZ
Individual
Pain Medicine (Interventional Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1699188011 TATYANA STEPANENKO MD
Individual
Pain Medicine (Interventional Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1760673206DR. BOJAN PAVLOVIC MD
Individual
Pain Medicine (Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(321) 710-8052
1790231694 JUAN CARLOS ESTRADA ARNP
Individual
Nurse Practitioner1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1073622247CENTRAL FLORIDA FAMILY MEDICAL GROUP
Organization
Family Medicine1170 S SEMORAN BLVD SUITE A
ORLANDO, FL 32807
(407) 281-9105
1528257524 CESAR AUGUSTO LASSALLE-NIEVES M.D.
Individual
Pain Medicine (Pain Medicine)1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 622-7246
1689121246 ALEXANDRA LYNN THOMAS PA-C
Individual
Physician Assistant1170 S SEMORAN BLVD
ORLANDO, FL 32807
(407) 955-5999

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306048343, enumerated in the NPI registry as an "organization" on June 01, 2007

The provider is located at 1170 S Semoran Blvd Suite D Orlando, Fl 32807 and the phone number is (407) 282-4142

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.