Organization Active NPI

OB GYN of Greater Orlando LLC

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1215164363
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
272868100MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2016445OB GYN of Greater Orlando LLC5308 South John Young Parkway, Orlando, FL 32839Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.