West Orange Family Medical Care,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WEST ORANGE FAMILY MEDICAL CARE,PA

Practice address

1002 S Dillard St
Suite 102
Winter Garden, FL 34787

Phone

(407) 877-3577

NPI assigned

Oct 5, 2006

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael G Mercado, MDNPI 1558404616

Title

Owner

Phone

(407) 877-3577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Michael G Mercado, MD

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1558404616
  Medicare reassignment NPD Authorized official
• Jeffrey Thomas Nelson, D.O.

  • Family Medicine Physician
  • Lake Buena Vista, FL
  • NPI 1295036697
  Medicare reassignment NPD
• Rafael Perfecto Viera, MD

  • General Practice Physician
  • Winter Garden, FL
  • NPI 1003205519
  Medicare reassignment NPD
• Francisco Gonzalez, PA

  • Medical Physician Assistant
  • Winter Garden, FL
  • NPI 1366638546
  Medicare reassignment

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1184710295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S DILLARD ST",
            "address_2": "SUITE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-877-3577",
            "fax_number": "407-877-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S DILLARD ST",
            "address_2": "SUITE 102",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-877-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE FAMILY MEDICAL CARE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-877-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37138700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Anne Wenczak, MD
• Gaati Werema
• Kelly A Wesolowski, CRNP, FNP-BC
• Amanda Marie Wesson, BCBA
• West Colonial Drive Opco LLC (Aviata at Colonial Lakes)
• West Orange Healthcare District (Health Central Park)
• West Orange Healthcare District (Wintermere Internal Medicine)
• West Orange Massage Therapy LLC
• West Orange Nephrology LLC
• West Orange Vascular Center LLC

• Family Medicine Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.