Active NPI
William Steve Eubanks Jr., MD
- Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0108617
- Practice address
- 2415 N. Orange Ave
Suite 400
Orlando, FL 32804 - Phone
- (407) 303-7399
- Fax
- (407) 303-7305
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2003031774 | MO | |
| Surgery Physician | 208600000X | ME0108617 | FL | Primary |
Addresses
Primary practice location
2415 N. Orange Ave
Suite 400
Orlando, FL 32804
Mailing address
2415 N. Orange Ave
Suite 400
Orlando, FL 32804
Phone (407) 303-7399
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185637 | Other | MO | BLUE SHIELD/BLUE CHOICE |
| 208795500 | Medicaid | MO | |
| 630763 | Other | MO | HEALTHLINK |
| 003037600 | Medicaid | FL | |
| 1701308 | Other | MO | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110127001188 | FL | Practitioner - General Surgery | 7810980554 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0108617 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
| Adventist Health System Sunbelt Inc | Surgery | Past | Accepting new patients |
| Curators of the University of Missouri | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
2501 N Orange Ave
Ste 235
Orlando, FL 32804
Phone (407) 303-1967
2415 N Orange Ave
Ste 400
Orlando, FL 32804
Phone (407) 303-7203
7975 Lake Underhill Rd
Ste 200
Orlando, FL 32822
Phone (407) 303-5990
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
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- NPI 1285591545
-
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1164469748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 N. ORANGE AVE",
"address_2": "SUITE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-303-7399",
"fax_number": "407-303-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 N. ORANGE AVE",
"address_2": "SUITE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32804",
"telephone_number": "407-303-7399",
"fax_number": "407-303-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "WILLIAM",
"middle_name": "STEVE",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2003031774",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0108617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/BLUE CHOICE",
"identifier": "185637",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208795500",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "630763",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003037600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1701308",
"state": "MO"
}
],
"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 Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.