ORLANDO HEALTH INC (NPI# 1174560858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174560858 |
| Entity Type | Organization |
| Organization Name | ORLANDO HEALTH INC |
| Other Organization Name | OH GENERAL PEDIATRICS & ADOLESCENT MED. |
| Practice Address |
89 W Copeland Dr 2nd Floor Orlando FL 32806-2028 |
| Practice Telephone | 4072376319 |
| Practice Fax Number | 4078438505 |
| Mailing Telephone | 4072376319 |
| Mailing Fax Number | 4078438505 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | KEITH EGGERT (VP REVENUE MANAGEMENT) |
| Authorized Official Telephone | 4072376393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 036396100 | 05 | |
| FL | BCBS OF FLORIDA | 72628 | 01 |
| Other Name | Type Code |
|---|---|
| OH General Pediatrics & Adolescent Med. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505458 | Orlando Health Inc | Pharmacy | 1111 Blackwood Ave, Ocoee, FL 34761-4549 | 2020-07-09 |
| 1659822799 | Orlando Health Inc | Pharmacy | 7243 Della Dr Ste F, Orlando, FL 32819-5106 | 2016-10-24 |
| 1528358116 | Orlando Health Inc | Pharmacy | 92 W Miller St # Mp374, Orlando, FL 32806-2032 | 2011-04-15 |
| 1457489767 | Orlando Health Inc | Anesthesiology | 1414 Kuhl Ave., Orlando, FL 32806 | 2007-02-28 |
| 1710031281 | Orlando Health Inc | Home Health | 102 W Pineloch Ave, Suite 23, Orlando, FL 32806-6100 | 2007-01-22 |
| 1659629871 | Orlando Health Inc | Pharmacy | 92 W Miller St, Orlando, FL 32806-2032 | 2012-08-20 |
| 1669741930 | Orlando Health Inc | Pharmacy | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2011-12-15 |
| 1245462654 | Orlando Health Inc | Audiologist | 601 W Michigan St, Orlando, FL 32805-6203 | 2009-08-18 |
| 1033392998 | Orlando Health Inc | Internal Medicine | 9430 Turkey Lake Rd, Suite 110, Orlando, FL 32819 | 2007-12-13 |
| 1114069051 | Orlando Health Inc | Counselor | 601 W Michigan St, Orlando, FL 32805-6203 | 2007-02-13 |
| Street Address |
89 W COPELAND DR 2ND FLOOR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013737 | George John Haidukewych | Orthopaedic Surgery | 89 W Copeland Dr, 3rd Floor, Orlando, FL 32806-2028 | 2005-06-17 |
| 1194344929 | Ryan Findlay | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-12 |
| 1518586593 | Susan Rifai | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32816-2002 | 2020-04-10 |
| 1821617044 | April Simforoza Rutherford | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1386263424 | Hannah Hong | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1124647326 | Carlos Eduardo Linares | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1760001960 | Marcella Riley | Student in an Organized Health Care Education/Training Program | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-04-09 |
| 1730711151 | Jack Hanson Anzilotti | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2020-02-05 |
| 1386295574 | Emmanuel O Okelola | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2019-09-27 |
| 1255988150 | Justin Daniel Murray | Physician Assistant | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2019-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
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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.