LORI BOARDMAN (NPI# 1255353421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255353421 |
| Entity Type | Individual |
| Full Name | LORI BOARDMAN |
| Credential | MD |
| Practice Address |
12201 Research Pkwy 3rd Floor Orlando FL 32816-0001 |
| Practice Telephone | 4078230500 |
| Practice Fax Number | 4078231856 |
| Mailing Telephone | 4078230500 |
| Mailing Fax Number | 4078231856 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME 102469 | FL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD8463 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
12201 RESEARCH PKWY 3RD FLOOR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32816-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814421 | Courtney Jones Goldman | Student in an Organized Health Care Education/Training Program | 12201 Research Pkwy, Orlando, FL 32826-3298 | 2020-09-02 |
| 1063026482 | Amanda Vera | Student in an Organized Health Care Education/Training Program | 12201 Research Pkwy, Orlando, FL 32826-3298 | 2020-09-02 |
| 1750926606 | Raeleigh Diane Connick | Registered Nurse | 12201 Research Pkwy, Orlando, FL 32826-3298 | 2019-11-14 |
| 1962044354 | Courtney Simmons | Registered Nurse | 12201 Research Pkwy, Orlando, FL 32826-3298 | 2019-10-17 |
| 1023446341 | Susan Chase | Registered Nurse | 12201 Research Pkwy, Suite 300, Orlando, FL 32826-3298 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667934 | Zamaris Rivera | Student in an Organized Health Care Education/Training Program | 12805 Pegasus Drive, Room 123, Orlando, FL 32816 | 2020-04-04 |
| 1396259867 | Logan T Mahlock | Specialist/Technologist | 4364 Scorpius St, Orlando, FL 32816 | 2017-11-20 |
| 1609398064 | Micaela Breann Ward | Student in an Organized Health Care Education/Training Program | 4266 West Plaza Drive, Orlando, FL 32816 | 2017-07-07 |
| 1427178276 | Ordella Georgette Hawkins | Nurse Practitioner | 4098 Libra Dr, Orlando, FL 32816 | 2007-03-29 |
| 1346398021 | Kelly Ann Roberts | Family Medicine | 4098 Libra Dr, Orlando, FL 32816 | 2007-01-08 |
| 1407463508 | Michelle A Trak | Student in an Organized Health Care Education/Training Program | 2201 Research Parkway Suite 300, Orlando, FL 32816-0001 | 2020-09-23 |
| 1891330262 | Karly Branch | Psychologist | 4090 Libra Dr Ucf Counseling & Psychological Services, Orlando, FL 32816-0001 | 2019-11-08 |
| 1164994885 | Amie R Newins | Psychologist | 4111 Pictor Lane Psychology Building Suite 320, Orlando, FL 32816-0001 | 2018-12-19 |
| 1942795489 | Alexandra Carvajal | Specialist/Technologist | 4000 Central Blvd, Orlando, FL 32816-0001 | 2018-06-27 |
| 1427579069 | Zya'nel Moorehead-mckie | Student in an Organized Health Care Education/Training Program | 4000 University Blvd, Orlando, FL 32816-0001 | 2017-07-05 |
| Find all providers in zip 32816 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884081 | Radiance Center for Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 653 E Jackson St, Orlando, FL 32801-2809 | 2020-09-02 |
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1568914091 | Physician Associates LLC | Obstetrics & Gynecology | 7243 Della Drive, Orlando, FL 32819-9999 | 2016-11-01 |
| 1922454354 | Luis G. Del Pilar Rodriguez | Obstetrics & Gynecology | 4170 W Town Center Blvd Ste 104, Orlando, FL 32837-5875 | 2016-05-04 |
| 1396149258 | Obstetrics and Gynecology Specialists of Central Florida, P.a. | Obstetrics & Gynecology | 930 S Semoran Blvd, Orlando, FL 32807-3005 | 2014-10-21 |
| 1417351743 | Physician Associates LLC | Obstetrics & Gynecology | 9679 Lake Nona Village Place, Suite 101, 103, and 104, Orlando, FL 32827-9999 | 2014-10-15 |
| 1417254178 | Mary Sue Makin | Obstetrics & Gynecology | 5108 Brenda Dr, Orlando, FL 32812-8717 | 2011-02-16 |
| 1750510087 | Orlando Women Center LLC | Obstetrics & Gynecology | 1103 Lucerne Ter, Orlando, FL 32806-1016 | 2009-07-08 |
| 1679719587 | Womens Care Florida LLP | Obstetrics & Gynecology | 24 Sturtevant St, Orlando, FL 32806-2019 | 2008-12-23 |
| 1174775696 | Susanne V Osborne | Obstetrics & Gynecology | 3438 Lawton Rd # 2b, Orlando, FL 32803-2948 | 2008-10-15 |
| 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.