Active NPI
Walter R Siemian, M.D.
- Plastic Surgery Physician
- Ocoee, FL
National Provider Identifier
1225041585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 46591
- Practice address
- 10,000 W Colonial Dr
Suite #496
Ocoee, FL 34761-3498 - Phone
- (407) 521-7431
- Fax
- (407) 296-1873
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 46591 | FL | Primary |
Addresses
Primary practice location
10,000 W Colonial Dr
Suite #496
Ocoee, FL 34761-3498
Mailing address
10,000 W Colonial Dr
Suite #496
Ocoee, FL 34761-3498
Phone (407) 521-7431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46591 | FL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Orange Physicians Group, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Physician
- Ocoee, FL
- NPI 1578790432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1225041585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10,000 W COLONIAL DR",
"address_2": "SUITE #496",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613498",
"telephone_number": "407-521-7431",
"fax_number": "407-296-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10,000 W COLONIAL DR",
"address_2": "SUITE #496",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613498",
"telephone_number": "407-521-7431",
"fax_number": "407-296-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMIAN",
"first_name": "WALTER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "46591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.