Active NPI
OB GYN of Greater Orlando LLC
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1215164363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB GYN OF GREATER ORLANDO LLC
- Practice address
- 5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362 - Phone
- (407) 846-4882
- Fax
- (407) 355-3383
- NPI assigned
- Jun 16, 2009
- Last updated
- Aug 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerome Alex Cleeford Beliard, MD
- Title
- Partner/Physician
- Phone
- (407) 846-4882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | FL | Primary |
Addresses
Primary practice location
5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362
Mailing address
5308 S John Young Pkwy Ste 300
Orlando, FL 32839-7362
Phone (407) 846-4882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272868100 | Medicaid | FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2016445 | OB GYN of Greater Orlando LLC | Certificate of waiver | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
5308 S John Young Pkwy
Ste 300
Orlando, FL 32839
Phone (407) 846-4882
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Obstetrics & Gynecology Physician
- Orlando, FL
- NPI 1659446722
-
- Obstetrics Physician
- Orlando, FL
- NPI 1558775650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660608000000",
"number": "1215164363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 S JOHN YOUNG PKWY STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328397362",
"telephone_number": "407-846-4882",
"fax_number": "407-846-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 S JOHN YOUNG PKWY STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328397362",
"telephone_number": "407-846-4882",
"fax_number": "407-355-3383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB GYN OF GREATER ORLANDO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A",
"authorized_official_last_name": "BELIARD",
"authorized_official_first_name": "GEROME",
"authorized_official_middle_name": "ALEX CLEEFORD",
"authorized_official_title_or_position": "PARTNER/PHYSICIAN",
"authorized_official_telephone_number": "407-846-4882",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "272868100",
"state": "FL"
}
],
"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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.