West Volusia Surgical, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME98314 Issued in FL

Legal business name

WEST VOLUSIA SURGICAL, PA

Practice address

321 Montgomery Rd #160965
Altamonte Springs, FL 32716-0965

Phone

(407) 409-8111

Fax

(407) 409-8115

NPI assigned

Apr 23, 2010

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel R Ogle, M.D.NPI 1033232848

Title

President

Phone

(407) 443-1865

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Rohan Ogle, MD

  • Surgery Physician
  • Debary, FL
  • NPI 1033232848
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1023335437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MONTGOMERY RD #160965",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160965",
            "telephone_number": "407-409-8111",
            "fax_number": "407-409-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MONTGOMERY RD #160965",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160965",
            "telephone_number": "407-409-8111",
            "fax_number": "407-409-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VOLUSIA SURGICAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-443-1865",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME98314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Michelle Wenig, MA, LMHC, NCC
• Mathew Wentworth, M.S., BCBA
• West Altamonte Facility Operations, LLC (Living Center at West Altamonte)
• West Altamonte Nursing and Rehabilitation Center by Harborview LLC
• West Altamonte Opco, LLC (West Altamonte Nursing & Rehabilitation Center)
• Domonic Lane Westergaard, APRN, MSN, PPCNP-BC
• Jordan Samantha Wetter, COTA/L
• Sydney Wetterstrom
• Ross C. Wheeler, M.D.
• Winifred G Whidden, ARNP

• Surgery Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.