Kevin Spohr, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS7570 Issued in FL

Practice address

1507 Park Center Drive, Unit 1D
Orlando, FL 32835

Phone

(407) 445-9445

Fax

(407) 293-3908

NPI assigned

Jun 25, 2007

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Dermatology, IncGroup PAC ID 1355334863, 20 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Associates in Dermatology Inc

  • Specialist
  • Kissimmee, FL
  • NPI 1316960297
  Medicare reassignment Care Compare group NPD
• Medical Office Consultants, Inc.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1689875882
  NPD (past)
• Pine Castle Urgent Care Center PLLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1982880613
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205032497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 180",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517235",
            "telephone_number": "407-875-2080",
            "fax_number": "407-875-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PARK CENTER DRIVE, UNIT 1D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "407-445-9445",
            "fax_number": "407-293-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOHR",
        "first_name": "KEVIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennica Marie Spinuzza, PHARM D
• Kianna Spivey
• Spkcomforthomecareinc
• SPM Growth Solution
• SPM Growth Solution
• Sports & Spine Medical Rehabilitation PLLC
• Sports and Orthopedic Rehabilitation Services Inc
• Michael Lee Sposato, CRNA
• Lori-Ann Marie Spreitzer, MD
• Paul J Spreitzer, MD

• Dermatology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.