KEMKA S OGBURIA JR. (NPI# 1275710758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275710758 |
| Entity Type | Individual |
| Full Name | KEMKA S OGBURIA JR. |
| Credential | MD |
| Practice Address |
515 W State Road 434 Suite 210 Longwood FL 32750-4981 |
| Practice Telephone | 4073328080 |
| Practice Fax Number | 4072600602 |
| Mailing Telephone | 4073328080 |
| Mailing Fax Number | 4072600602 |
| Enumeration Date | 2008-01-27 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME101561 | FL | Other Service Providers |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
036118526 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
515 W STATE ROAD 434 SUITE 210 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-4981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734309 | Olen A Giles | Specialist | 515 W State Road 434, Suite 110a, Longwood, FL 32750-4981 | 2005-07-20 |
| 1326452822 | Advanced Analgesia and Anesthesia, Inc | Pain Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2014-06-12 |
| 1669812269 | Neel Vipin Patel | Psychiatry & Neurology | 515 W State Road 434, Longwood, FL 32750-4981 | 2013-06-27 |
| 1750729240 | Roshan K Patel | Family Medicine | 515 W State Road 434, Suite 110, Longwood, FL 32750-4981 | 2013-06-06 |
| 1144528522 | Michael Lee Sampson | Physician Assistant | 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | 2011-03-08 |
| 1639496565 | Ashley R Vrecenak | Physician Assistant | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2010-05-03 |
| 1457586547 | Kathleen B Zendell | Dermatology | 515 W State Road 434, Suite 210, Longwood, FL 32750-4981 | 2009-05-19 |
| 1609064195 | Urology Consultants | Specialist | 515 W State Road 434, 302, Longwood, FL 32750-4981 | 2007-10-09 |
| 1063608248 | Susan Toth D.o.p.a. | Family Medicine | 515 W State Road 434, Suite 308, Longwood, FL 32750-4981 | 2007-09-20 |
| 1588794531 | Giles Gastroenterology Center Pa | Specialist | 515 W State Road 434, Suite 110-a, Longwood, FL 32750-4981 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588060958 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 2933 W State Road 434, Ste 101, Longwood, FL 32779-4457 | 2014-11-13 |
| 1134478605 | Carrasquero Pediatrics and Associates | Specialist | 407 Wekiva Springs Road, Suite 110, Longwood, FL 32779 | 2012-08-30 |
| 1316245483 | Esther Garay | Specialist | 245 South Ronald Reagan Blvd., Longwood, FL 32750 | 2011-03-14 |
| 1821396847 | Stephanie Victoria Vales | Specialist | 206 Charles Street, Longwood, FL 32750-5402 | 2011-03-01 |
| 1316173255 | Angela Kristine Harlow | Specialist | 245 S Ronald Reagan Blvd, Longwood, FL 32750-5402 | 2009-06-05 |
| 1366645228 | Marisa L Burkhart | Specialist | 285 W Pine Ave, Longwood, FL 32750-4138 | 2007-06-07 |
| 1154530400 | William Donnell Heath | Specialist | 130 Stone Post Rd, Longwood, FL 32779-2745 | 2007-05-22 |
| 1093932006 | Leisa Youel | Specialist | 1005 Lake Front Ln, Longwood, FL 32779-4827 | 2007-04-19 |
| 1427179985 | Lorie Schultz Barber | Specialist | 918 Woodgate Trl, Longwood, FL 32750-2989 | 2007-04-03 |
| 1275696437 | Elias C Jacobo | Specialist | 515 West Sr 434 Suite 302, Longwood, FL 32750-3275 | 2006-12-19 |
| Find all providers in LONGWOOD | ||||
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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.