Orlando Physician Specialists LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME92559 Issued in FL

Legal business name

ORLANDO PHYSICIAN SPECIALISTS LLC

Practice address

2250 Bedford Rd
Orlando, FL 32803-1443

Phone

(407) 303-7869

NPI assigned

Sep 28, 2016

Last updated

Sep 28, 2016By 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

Charles Witten, MDNPI 1376518431

Title

Director

Phone

(407) 303-7869

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.

• Charles N Witten, MD

  • Urology Physician
  • Lake Mary, FL
  • NPI 1376518431
  Authorized official Same address or phone

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1023567229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894678",
            "telephone_number": "407-332-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 BEDFORD RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031443",
            "telephone_number": "407-303-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "WITTEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-303-7869",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME92559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orlando Pain and Rehab Center, Inc.
• Orlando Pain Management Center LLC
• Orlando Pediatric Psychiatry LLC
• Orlando Pharmacy Inc (Orlando Pharmacy)
• Orlando Physical Therapy
• Orlando Physician Specialists LLC (Florida Urology Group)
• Orlando Physician Specialists LLC (Qamar S. Khan, MD)
• Orlando Physician Specialists LLC
• Orlando Physician Specialists LLC (Southwest Cancer Center)
• Orlando Physician Specialists LLC (Southwest Cancer Center)

• Urology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.