MARK KELLAND HERSCHEL (NPI# 1124083068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124083068 |
| Entity Type | Individual |
| Full Name | MARK KELLAND HERSCHEL |
| Credential | M.D. |
| Practice Address |
1911 N. Mills Avenue Suite 100 Orlando FL 32803 |
| Practice Telephone | 4078948081 |
| Practice Fax Number | 4078948082 |
| Mailing Telephone | 4078948081 |
| Mailing Fax Number | 4078948082 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME77485 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
ME77485 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED HEALTH CARE | 1689235 | 01 |
| FL | GHI | 400650 | 01 |
| FL | BCBS | 20922 | 01 |
| FL | 25622700 | 05 | |
| FL | AETNAPPO/POS | 5014060 | 01 |
| FL | CIGNA | 1476870 | 01 |
| FL | AETNA HMO | 2439416 | 01 |
| FL | WELL CARE | 209665 | 01 |
| Street Address |
1911 N. MILLS AVENUE SUITE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207WX0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Cornea and External Diseases Specialist |
| An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2018: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689168353 | Lasik Partners, LLC | Ophthalmology | 1911 N Mills Ave Ste 100, Orlando, FL 32803-1407 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576941 | Zudans Medical Billing LLC | Ophthalmology | 1960 25th Ave, Vero Beach, FL 32960-6629 | 2020-07-31 |
| 1528685328 | Daliya Dzhaber | Ophthalmology | 7101 Fairway Dr, Palm Beach Gardens, FL 33418-3701 | 2020-06-29 |
| 1710507942 | Venice Ophthalmology Specialists Pa | Ophthalmology | 4140 Woodmere Park Blvd Ste 3, Venice, FL 34293-2205 | 2020-04-17 |
| 1972620268 | Saul Ullman M.d. P.a. | Ophthalmology | 5528 N Davis Hwy, Pensacola, FL 32503-2078 | 2007-03-23 |
| 1821080771 | Peter J. Polack | Ophthalmology | 4414 Sw College Rd Ste 1462, Ocala, FL 34474-4790 | 2005-08-17 |
Please comment or provide details below to improve the information on MARK KELLAND HERSCHEL.
| 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.