Edgar A Orellana, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME62808 Issued in FL

Practice address

315 S W C Owens Ave
Clewiston, FL 33440-3637

Phone

(863) 983-7813

Fax

(863) 983-9604

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Edgar G Orellana Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: edgar.orellana.1@14865.direct.athenahealth.com

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.

• Florida Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Pierce, FL
  • NPI 1104250786
  NPD (past)
• Florida Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Palm Beach, FL
  • NPI 1144288432

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1174583579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 CORPORATE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072000",
            "telephone_number": "561-844-9443",
            "fax_number": "561-472-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S W C OWENS AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403637",
            "telephone_number": "863-983-7813",
            "fax_number": "863-983-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "EDGAR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME62808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373378500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "18680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "ORELLANA",
            "middle_name": "G",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Udayashree Nune, MD
• Nuway Home Care LLC
• Nvi
• Barbara Nyce Reesor, PA
• Amanda S Oconnor
• Christine Ann Ostroski, PA-C
• Amanda Michelle Pacheco, ARNP FNP-C
• Migdalia R Padron
• Antoinette Marie Pavey-McDaniel, ARNP
• Kristina Pena, ARNP

• Pediatrics Physician in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.