DEVINA KOMALAWATI SIREGAR MCCRAY (NPI# 1932473089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932473089 |
| Entity Type | Individual |
| Full Name | DEVINA KOMALAWATI SIREGAR MCCRAY |
| Credential | MD |
| Practice Address |
661 E Altamonte Dr Ste 231 Altamonte Springs FL 32701-5102 |
| Practice Telephone | 4073035214 |
| Practice Fax Number | 4073035215 |
| Mailing Telephone | 4073035214 |
| Mailing Fax Number | 4073035215 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 0101260265 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35.126197 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A121268 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | ME107029 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1625 N George Mason Dr, Suite 315, Arlington, VA 222053683 | 7037174217 | 7037174218 |
| 661 E Altamonte Dr Ste 222, Altamonte Springs, FL 327015102 | 4073035214 | 4073035215 |
| Street Address |
661 E ALTAMONTE DR STE 231 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457307928 | Walter C Hayne | Surgery | 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701-5102 | 2006-05-26 |
| 1518591312 | Victoria Mathis | Physician Assistant | 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701-5102 | 2020-03-02 |
| 1568915791 | Audrey L Fitzgerald | Physician Assistant | 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701-5102 | 2016-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023335437 | West Volusia Surgical, Pa | Surgery | 321 Montgomery Rd #160965, Altamonte Springs, FL 32716-0965 | 2010-04-23 |
| 1902072663 | Mark Karam Soliman | Surgery | 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 | 2008-05-02 |
| 1790972784 | T. Terry Chutinan Md Pa | Surgery | 800 N Highway 434, Suite 4, Altamonte Springs, FL 32714-7041 | 2007-10-03 |
| 1063637494 | Afaq Zaman Khan | Surgery | 631 Palm Springs Dr Ste 104, Altamonte Springs, FL 32701-7854 | 2007-04-13 |
| 1295767697 | T Terry Chutinan | Surgery | 800 N State Road 434, Suite 4, Altamonte Springs, FL 32714-7041 | 2006-07-07 |
| 1457307928 | Walter C Hayne | Surgery | 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701-5102 | 2006-05-26 |
| 1063411064 | Craig J Ruskin | Surgery | 661 E Altamonte Dr, Suite 120, Altamonte Springs, FL 32701-5105 | 2005-07-20 |
| 1396275889 | Brenda E Almedina | Surgery | 601 E Altamonte Dr, Altamonte Springs, FL 32701-4802 | 2017-06-15 |
| 1902223696 | Surgimed of Orlando LLC | Surgery | 631 Palm Springs Dr Ste 104, Altamonte Springs, FL 32701-7854 | 2014-03-19 |
| 1942590393 | George Joseph Nassif Jr. | Surgery | 661 E Altamonte Dr, Suite 220, Altamonte Springs, FL 32701-5105 | 2011-04-19 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on DEVINA KOMALAWATI SIREGAR MCCRAY.
| 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.