Individual provider Active NPI

Tanya O Agard, M.D.

  • Internal Medicine Physician
  • Winter Springs, FL
National Provider Identifier
1215944731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0075676 Issued in FL
Practice address
5703 Red Bug Lake Rd # 341
Winter Springs, FL 32708-4969
Phone
(407) 849-7500
Fax
(321) 207-0175
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0075676 FL Primary

Addresses

Primary practice location

5703 Red Bug Lake Rd # 341
Winter Springs, FL 32708-4969

Mailing address

2354 Mid Pine CT
Oviedo, FL 32765-4603
Phone (407) 383-4042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111129000571 FL Practitioner - Internal Medicine 8022921139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Florida Hospital Specialists PAGroup PAC ID 5092628107, 53 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-1996

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0075676FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Florida Hospital Specialists PA Internal Medicine CurrentSince Nov 5, 2001 Accepting new patients

Locations

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

5703 Red Bug Lake Rd
#341
Winter Springs, FL 32708
Phone (321) 207-0172

5717 Red Bug Lake Rd
Winter Springs, FL 32708
Phone (321) 207-0172

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Apopka Health and Rehabilitation CenterApopka, FL, CCN 106144 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Oct 1, 2024
Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215944731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 MID PINE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654603",
            "telephone_number": "407-383-4042",
            "fax_number": "321-207-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 RED BUG LAKE RD # 341",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084969",
            "telephone_number": "407-849-7500",
            "fax_number": "321-207-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGARD",
        "first_name": "TANYA",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0075676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.