G BROCK MAGRUDER (NPI# 1790976868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790976868 |
| Entity Type | Individual |
| Full Name | G BROCK MAGRUDER |
| Credential | MD |
| Practice Address |
1911 N Mills Ave Orlando FL 32803-1432 |
| Practice Telephone | 4078938200 |
| Practice Fax Number | 4078938220 |
| Mailing Telephone | 4078938200 |
| Mailing Fax Number | 4078938220 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME7107 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1911 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881661692 | G Brock Magruder Md Pa | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803-1432 | 2006-03-01 |
| 1700343142 | Chase Hutchings | Physician Assistant | 1911 N Mills Ave, Orlando, FL 32803-1407 | 2019-02-21 |
| 1073950119 | Sarina Mahesh Amin | Internal Medicine | 1911 N Mills Ave, Orlando, FL 32803 | 2013-05-30 |
| 1497198964 | Celia E. Graham | Dietitian, Registered | 1911 N Mills Ave, Orlando, FL 32803-1407 | 2013-04-15 |
| 1952628075 | Jeffrey R. Golen | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803 | 2010-04-29 |
| 1942387428 | Kranston G Boodram | Optometrist | 1911 N Mills Ave, Orlando, FL 32803-1407 | 2006-11-01 |
| 1316904774 | Michael E Pohlod | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803 | 2006-04-28 |
| 1669437786 | Donald J Centner | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803 | 2006-04-20 |
| 1912962572 | John A Beneke | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803 | 2006-04-18 |
| 1447211289 | John T Lehr | Ophthalmology | 1911 N Mills Ave, Orlando, FL 32803 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477940641 | Stephanie Terrill | Ophthalmology | 345 W Michigan St Ste 118, Orlando, FL 32806-4465 | 2015-04-24 |
| 1366853731 | Kyle Andrew Dallas Den Beste | Ophthalmology | 105 Bonnie Loch Ct Ste A, Orlando, FL 32806-2909 | 2014-05-19 |
| 1215276449 | St Cloud Eye Center Inc | Ophthalmology | 10727 Narcoossee Rd, Orlando, FL 32832-6943 | 2013-02-07 |
| 1508132986 | Lake Nona Ophthalmology Pl | Ophthalmology | 9685 Lake Nona Village Pl Ste 204, Orlando, FL 32827-7322 | 2012-03-29 |
| 1083842173 | Parker Eye Center LLC | Ophthalmology | 5127 S Orange Ave Ste 100, Orlando, FL 32809-3073 | 2009-06-26 |
| 1245482439 | Chirag J Patel | Ophthalmology | 9685 Lake Nona Village Pl, Suite 204, Orlando, FL 32827-7320 | 2008-10-21 |
| 1033314703 | My Hanh T. Nguyen | Ophthalmology | 7975 Lake Underhill Rd., Suite 230, Orlando, FL 32822-8204 | 2007-06-20 |
| 1528276441 | Orlando Eye Consultants, LLC | Ophthalmology | 1206 North Mills Avenue, Orlando, FL 32803-2560 | 2007-05-21 |
| 1063636355 | Lc Eye Center Inc | Ophthalmology | 745 N Magnolia Ave, 2nd Floor, Orlando, FL 32803-3835 | 2007-04-11 |
| 1124141791 | Jamie L Ikeda | Ophthalmology | 6535 Nemours Parkway, Nemours Childrens Hospital, Orlando, FL 32827-7884 | 2007-04-09 |
| 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.