NPIMap

Organization Active NPI

Baker Heard Osteen & Davenport MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1073576120
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAKER HEARD OSTEEN & DAVENPORT MD PA
Practice address
345 W Michigan St
Suite 114
Orlando, FL 32806-4465
Phone
(407) 843-9083
Fax
(407) 420-2900
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Penny Horn
Title
Administrator
Phone
(407) 843-9083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X FL Primary

Addresses

Primary practice location

345 W Michigan St
Suite 114
Orlando, FL 32806-4465

Mailing address

345 W Michigan St
Suite 114
Orlando, FL 32806-4465
Phone (407) 843-9083

Other identifiers 1

IdentifierTypeStateIssuer
7300047OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

345 W Michigan St
Orlando, FL 32806
Phone (407) 888-2255

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073576120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MICHIGAN ST",
            "address_2": "SUITE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064465",
            "telephone_number": "407-843-9083",
            "fax_number": "407-420-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MICHIGAN ST",
            "address_2": "SUITE 114",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064465",
            "telephone_number": "407-843-9083",
            "fax_number": "407-420-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKER HEARD OSTEEN & DAVENPORT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-843-9083"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7300047",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.