WEST VOLUSIA SURGICAL, PA (NPI# 1023335437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023335437 |
| Entity Type | Organization |
| Organization Name | WEST VOLUSIA SURGICAL, PA |
| Practice Address |
321 Montgomery Rd #160965 Altamonte Springs FL 32716-0965 |
| Practice Telephone | 4074098111 |
| Practice Fax Number | 4074098115 |
| Mailing Telephone | 4074098111 |
| Mailing Fax Number | 4074098115 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2014-11-24 |
| Authorized Official Name | SAMUEL R OGLE (PRESIDENT) |
| Authorized Official Telephone | 4074431865 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME98314 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 278168900 | 05 |
| Street Address |
321 MONTGOMERY RD #160965 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32716-0965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958407 | Kemly Valmyr | Nurse Practitioner | 163024, Altamonte, FL 32716 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760368 | Tonique L Brown | Homemaker | 563 Little River Loop Apt 148, Altamonte Springs, FL 32714-1746 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1891396131 | Whiplashmd, LLC | Physician Assistant | 940 Centre Cir Ste 1018, Altamonte Springs, FL 32714-7242 | 2020-11-03 |
| 1821698333 | Angelica Mike | Nurse Practitioner | 462 Windmill Palm Cir, Altamonte Springs, FL 32701-3502 | 2020-10-26 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1306453709 | Elizabeth L Holberg | Occupational Therapist | 685 Scarlet Oak Cir Unit 105, Altamonte Springs, FL 32701-6506 | 2020-09-29 |
| 1427665991 | Laura A Stouffer | Massage Therapist | 124 Olive Tree Cir, Altamonte Springs, FL 32714-3239 | 2020-09-28 |
| 1598372419 | Delmary Autech, LLC | In Home Supportive Care | 499 N State Road 434 Ste 2163, Altamonte Springs, FL 32714-1006 | 2020-09-24 |
| 1225644594 | Patricia C Avalos | Counselor | 1110 Douglas Ave Ste 2040, Altamonte Springs, FL 32714-2004 | 2020-09-21 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1932473089 | Devina Komalawati Siregar Mccray | Surgery | 661 E Altamonte Dr Ste 231, Altamonte Springs, FL 32701-5102 | 2012-03-06 |
| 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 | 32716 |
Please comment or provide details below to improve the information on WEST VOLUSIA SURGICAL, PA.
| 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.