Organization Active NPI

Mike Arsov MD PA

  • Medical Specialty Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1154651024
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0066144 Issued in FL
Legal business name
MIKE ARSOV MD PA
Practice address
908 W Magnolia St
Kissimmee, FL 34741-4117
Phone
(407) 933-0900
Fax
(407) 933-4774
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Mike Arsov, MD
Title
Owner
Phone
(407) 933-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0066144 FL Primary

Addresses

Primary practice location

908 W Magnolia St
Kissimmee, FL 34741-4117

Mailing address

908 W Magnolia St
Kissimmee, FL 34741-4117
Phone (407) 933-0900

Other identifiers 2

IdentifierTypeStateIssuer
376829500MedicaidFL
25545OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000444 FL Part B Supplier - Clinic/Group Practice 0749321156 Receives reassigned benefits from 1 practitioner
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

908 W Magnolia St
Kissimmee, FL 34741
Phone (407) 808-5656

Practitioners & affiliated clinicians

Practitioners 1

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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1154651024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 W MAGNOLIA ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414117",
            "telephone_number": "407-933-0900",
            "fax_number": "407-933-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W MAGNOLIA ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414117",
            "telephone_number": "407-933-0900",
            "fax_number": "407-933-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE ARSOV MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "ARSOV",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-933-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "0066144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376829500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "25545",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.