MS. MARDI JANE BISHOP


Address: 1319 S International Pkwy, Suite 1151, Lake Mary, FL 32746-1408
Phone: 4073331616

MS. MARDI JANE BISHOP (NPI# 1740275361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740275361
Entity Type Individual
Full Name MS. MARDI JANE BISHOP
Credential MD
Practice Address 1319 S International Pkwy
Suite 1151
Lake Mary
FL 32746-1408
Mailing Address 841 Lakeworth Cir
Lake Mary
FL 32746-5346
Practice Telephone 4073331616
Practice Fax Number 4073331617
Enumeration Date 2005-09-20
Last Update Date 2010-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology ME94808 FL Allopathic & Osteopathic Physicians
N 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
01054596A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 274559300 05
FL BCBS FL 37022 01

Office Location

Street Address 1319 S INTERNATIONAL PKWY
SUITE 1151
City LAKE MARY
State FL
Zip Code 32746-1408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750725164 On2feet, L.L.C. Podiatrist 1319 S International Pkwy, Suite 1161, Lake Mary, FL 32746-1408 2013-04-29
1992944342 Jefferson Mennuti Podiatrist 1319 S International Pkwy, Sute 1161, Lake Mary, FL 32746-1408 2009-02-09
1760466510 Womens Health Center of Central Florida LLC Obstetrics & Gynecology 1319 S International Pkwy, Ste 1151, Lake Mary, FL 32746-1408 2005-12-05

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NPI Name Taxonomy Address Enumeration
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1376185876 Rinehart Road Surgery Center, LLC Clinic/Center 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 2019-10-16
1871140988 Central Florida Wellness LLC General Practice 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 2019-08-22
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689209991 Earl Brewster Md Pa Obstetrics & Gynecology 101 N 8th St Ste 1001, Lake Mary, FL 32746-3101 2020-03-06
1952354730 Goss, Parker & Quinsey, P.a. Obstetrics & Gynecology 785 Primera Boulevard, Suite 1031, Lake Mary, FL 32746-2124 2006-05-19
1154373033 David L Goss Obstetrics & Gynecology 785 Primera Blvd Ste 1031, Lake Mary, FL 32746-2124 2006-05-17
1003807082 Gregory A. Zittel Obstetrics & Gynecology 719 Rodel Cv Ste 1015, Lake Mary, FL 32746-5716 2005-10-31
1588658579 Stacey L Sensor Obstetrics & Gynecology 1071 S Sun Dr Ste 1043, Lake Mary, FL 32746-2573 2005-09-06
1245662212 Physician Associates LLC Obstetrics & Gynecology 719 Rodel Cv, Suite 1015, Lake Mary, FL 32746-5716 2013-08-01
1447556881 Udita Jahagirdar Md Pa Obstetrics & Gynecology 101 N 8th St, Ste1001, Lake Mary, FL 32746-3101 2011-02-02
1952605537 Christopher K Quinsey Md Pa Obstetrics & Gynecology 2500 W Lake Mary Blvd, Suite 204, Lake Mary, FL 32746-3501 2010-12-22
1568793297 Alicia Gamble Mcloone Obstetrics & Gynecology 785 Primera Blvd, Suite# 1031, Lake Mary, FL 32746-2124 2010-01-20
1386975225 Sonia Marie Raab Obstetrics & Gynecology 785 Primera Blvd, Suite# 1031, Lake Mary, FL 32746 2010-01-15
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City LAKE MARY
Zip Code 32746

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Dataset Information

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.

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