NPIMap

Organization Active NPI

Windermere Pediatrics

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1114049822
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0051702 Issued in FL
Legal business name
WINDERMERE PEDIATRICS
Practice address
2101 Park Center Dr
100 & 130
Orlando, FL 32835-7626
Phone
(407) 297-0080
Fax
(407) 295-3080
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ginny L Guyton, MDNPI 1619957982
Title
President
Phone
(407) 297-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X ME0051702 FL Primary

Addresses

Primary practice location

2101 Park Center Dr
100 & 130
Orlando, FL 32835-7626

Mailing address

2101 Park Center Dr
100 & 130
Orlando, FL 32835-7626
Phone (407) 297-0080

Other identifiers 1

IdentifierTypeStateIssuer
ME0051702OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

7635 Ashley Park Ct
Ste 501
Orlando, FL 32835

2101 Park Center Dr
Ste 100
Orlando, FL 32835
Phone (407) 297-0080

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114049822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR",
            "address_2": "100 & 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357626",
            "telephone_number": "407-297-0080",
            "fax_number": "407-295-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PARK CENTER DR",
            "address_2": "100 & 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328357626",
            "telephone_number": "407-297-0080",
            "fax_number": "407-295-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "GINNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-297-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0051702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0051702",
            "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 Mar 7, 2023; 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.