ORANGE AVENUE SURGICAL SUITE, LLC (NPI# 1194912337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194912337 |
| Entity Type | Organization |
| Organization Name | ORANGE AVENUE SURGICAL SUITE, LLC |
| Other Organization Name | OASIS |
| Practice Address |
3872 Oakwater Cir Orlando FL 32806-6263 |
| Practice Telephone | 4078576261 |
| Practice Fax Number | 4078576241 |
| Mailing Telephone | 4078576261 |
| Mailing Fax Number | 4078576241 |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | DR. GEORGE HAYNES POPE SR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4078576261 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OSR #567 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OASIS | Doing Business As Name - Organization |
| Street Address |
3872 OAKWATER CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-6263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861579146 | Orlando Plastic Surgery Center | Plastic Surgery | 3872 Oakwater Cir, Orlando, FL 32806-6263 | 2006-11-01 |
| 1982904538 | Diana Gayle Tyson | Specialist/Technologist, Other | 3872 Oakwater Cir, Orlando, FL 32806-6263 | 2010-10-29 |
| 1487786141 | Adam J. Oppenheimer | Plastic Surgery | 3872 Oakwater Cir, Orlando, FL 32806-6263 | 2007-03-09 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755436 | Biospine Orlando | Clinic/Center | 3900 Millenia Blvd, Orlando, FL 32839-6407 | 2019-02-07 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1164922530 | Fresenius Vascular Care Four Corners Asc LLC | Clinic/Center | 1405 S Orange Ave Ste 120, Orlando, FL 32806 | 2018-02-13 |
| 1326309394 | Advanced Surgery Center of Orlando LLC | Clinic/Center | 6900 Turkey Lake Rd Ste 2-5, Orlando, FL 32819-4707 | 2012-06-06 |
| 1336445873 | Sand Lake Surgicenter LLC | Clinic/Center | 7477 Sandlake Commons Blvd, Orlando, FL 32819-8034 | 2011-02-01 |
| 1356654610 | Endo-surgical Center of Florida | Clinic/Center | 100 North Dean Road, Suite 102, Orlando, FL 32825 | 2010-07-15 |
| 1457545980 | Sand Lake Surgery Center, Lp | Clinic/Center | 7477 Sand Lake Commons Blvd, Orlando, FL 32819-8034 | 2007-08-28 |
| 1598980690 | Tcorp Inc | Clinic/Center | 2013 E Jefferson Street, Orlando, FL 32803 | 2007-04-16 |
| 1285752717 | Richard Arabitg | Clinic/Center | 8940 Conroy-windemere Rd., Orlando, FL 32835 | 2007-03-26 |
| 1881736734 | Millenia Surgery Center LLC | Clinic/Center | 4901 Vineland Rd, Suite 150, Orlando, FL 32811-7300 | 2007-02-13 |
| Find all providers in ORLANDO | ||||
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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.