OBSERVATION MEDICINE SPECIALISTS LLC (NPI# 1134596893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134596893 |
| Entity Type | Organization |
| Organization Name | OBSERVATION MEDICINE SPECIALISTS LLC |
| Practice Address |
500 Winderley Pl Suite 115 Maitland FL 32751-7247 |
| Practice Telephone | 4078750555 |
| Mailing Telephone | 4078750555 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-11-11 |
| Authorized Official Name | JORGE LOPEZ-FERRER (PRESIDENT) |
| Authorized Official Telephone | 4078750555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093026015 | Observation Medicine Specialists LLC | Emergency Medicine | 3950 Austell Rd, Austell, GA 30106-1121 | 2010-06-24 |
| Street Address |
500 WINDERLEY PL SUITE 115 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-7247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891783361 | Steven Nazario | Emergency Medicine | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2005-10-10 |
| 1245788967 | Adriana Haralson | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-09-12 |
| 1386198737 | Arianne Michelle Berkland | Physician Assistant | 500 Winderley Pl, Suit 115, Maitland, FL 32751-7247 | 2016-08-14 |
| 1093268245 | Alora Oliver | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-24 |
| 1760835110 | Elexis Lauren Braverman | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-21 |
| 1063865525 | Brian Nicholas Jammel | Physician Assistant | 500 Winderley Pl, #115, Maitland, FL 32751-7247 | 2016-07-20 |
| 1558714113 | Megan Emons Mathews | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-07-19 |
| 1841644556 | Yarelis Figueroa Matias | Physician Assistant | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-19 |
| 1194189373 | Jessica Wagman | Registered Nurse | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-13 |
| 1093178105 | Melissa Osborne | Nurse Practitioner | 500 Winderley Pl, Suite 115, Maitland, FL 32751-7247 | 2016-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777317 | Bassam Doujaiji | Internal Medicine | 1226 E Lake Colony Drive, Maitland, FL 32751 | 2017-01-26 |
| 1073644985 | George William Carroll | Internal Medicine | 100 East Sybelia Ave, Suite 140, Maitland, FL 32751-4750 | 2007-03-09 |
| 1639122831 | Anthony E Douglas | Internal Medicine | 670 N Orlando Ave, Suite 204, Maitland, FL 32751-4481 | 2006-05-18 |
| 1477505626 | Vraj Panara | Internal Medicine | 1907 Belford Ct, Maitland, FL 32751-4210 | 2006-05-16 |
| 1689640427 | Arnel K Larcia | Internal Medicine | 2600 Lake Lucien Dr Ste 112, Maitland, FL 32751 | 2006-02-23 |
| 1801871769 | Mary T Busowski | Internal Medicine | 2201 Lucien Way Ste 200, Maitland, FL 32751-7003 | 2005-12-13 |
| 1801871231 | Covelli Clinic Pa | Internal Medicine | 331 N Maitland Avenue, Suite C1, Maitland, FL 32751-4749 | 2005-12-08 |
| 1578545729 | Rene Fulgencio Cruz | Internal Medicine | 424 Lake Howell Rd, Maitland, FL 32751-5907 | 2005-11-15 |
| 1144219528 | Martin H. Derrow | Internal Medicine | 800 N Maitland Ave Ste 103, Maitland, FL 32751-4499 | 2005-10-18 |
| 1477084333 | Mayuri J Joshi | Internal Medicine | 800 N Maitland Ave Ste 103, Maitland, FL 32751-4499 | 2017-03-22 |
| Find all providers in MAITLAND | ||||
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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.