ORLANDO DIABETES AND ENDOCRINE SPECIALISTS (NPI# 1366415978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366415978 |
| Entity Type | Organization |
| Organization Name | ORLANDO DIABETES AND ENDOCRINE SPECIALISTS |
| Practice Address |
6150 Metrowest Blvd Suite 105 Orlando FL 32835-3290 |
| Mailing Address |
6150 Metrowest Blvd Suite 105 Orlando FL 32835-3289 |
| Practice Telephone | 4072932150 |
| Practice Fax Number | 4072934540 |
| Mailing Telephone | 4072932150 |
| Mailing Fax Number | 4072934540 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | KERRI L CONNELL (BILLING AND COLLECTIONS COORIDINATO) |
| Authorized Official Telephone | 4072932150 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
6150 METROWEST BLVD SUITE 105 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756586 | Tonya King | Nurse Practitioner | 6150 Metrowest Blvd, 103, Orlando, FL 32835-3289 | 2017-05-04 |
| 1871030023 | Florida Ortho Care Network, LLC | Orthopaedic Surgery | 6150 Metrowest Blvd, Suite 103, Orlando, FL 32835-3289 | 2017-01-26 |
| 1033570155 | Eli Westfall | Counselor | 6150 Metrowest Blvd, Suite 103, Orlando, FL 32835-3289 | 2016-03-17 |
| 1508258054 | Abilities Unlimited LLC | Behavioral Analyst | 6150 Metrowest Blvd, Orlando, FL 32835-3289 | 2015-02-20 |
| 1023412798 | Sheila Jones | Social Worker | 6150 Metrowest Blvd, Orlando, FL 32835-3289 | 2014-10-09 |
| 1013339423 | Yamira Ayala | Psychologist | 6150 Metrowest Blvd, Orlando, FL 32835-3289 | 2014-01-21 |
| 1356691661 | Zachary Thomas Gleason | Counselor | 6150 Metrowest Blvd, Suite 103, Orlando, FL 32835-3289 | 2012-09-13 |
| 1881944460 | Jacqueline Hernandez | Counselor | 6150 Metrowest Blvd, 103, Orlando, FL 32835-3289 | 2012-09-11 |
| 1043583867 | Comprehensive Psychiatric Services | Counselor | 6150 Metrowest Blvd, 103, Orlando, FL 32835-3289 | 2012-02-10 |
| 1174808521 | Good Health, Inc | Clinic/Center | 6150 Metrowest Blvd, Suite 202, Orlando, FL 32835-3289 | 2011-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1437425691 | Vanaja Vijaya Ragavan | Internal Medicine | 12502 Lake Mary Jane Rd, Orlando, FL 32832 | 2012-03-31 |
| 1497988927 | Steven Richard Smith | Internal Medicine | 301 E. Princeston St., Orlando, FL 32804-5546 | 2009-09-01 |
| 1104911452 | Rita Y Rahbany | Internal Medicine | 9166 University Blvd, Orlando, FL 32817-1709 | 2006-10-04 |
| 1295849552 | Tina Kaur Thethi | Internal Medicine | 2415 N Orange Ave Ste 502, Orlando, FL 32804-5503 | 2006-08-17 |
| 1679517171 | Samuel E Crockett | Internal Medicine | 2520 N Orange Ave, Suite 102, Orlando, FL 32804-4638 | 2006-06-15 |
| 1316996325 | Diabetes & Endocrine Center of Orlando, P.a. | Internal Medicine | 3113 Lawton Rd, Suite 100, Orlando, FL 32803-3531 | 2006-05-08 |
| 1558327973 | Sowmya K Suryanarayanan | Internal Medicine | 9975 Tavistock Lakes Blvd Ste 300, Orlando, FL 32827-7665 | 2006-04-25 |
| 1083683106 | Edwin N Lee | Internal Medicine | 7009 Dr Phillips Blvd, Suite 150, Orlando, FL 32819-5123 | 2006-03-14 |
| 1871598128 | Henry Jackson Baskin Sr. | Internal Medicine | 2921 N Orange Ave, Orlando, FL 32804-4627 | 2005-06-14 |
| 1427656016 | Orlando Endocrinology, LLC | Internal Medicine | 11616 Lake Underhill Rd Ste 205, Orlando, FL 32825-4466 | 2020-10-15 |
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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.