Organization Active NPI

Orlando Physician Specialists LLC

  • Urology Physician
  • Altamonte Springs, FL
National Provider Identifier
1225307143
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ORLANDO PHYSICIAN SPECIALISTS LLC
Practice address
106 Boston Ave
Suite 103
Altamonte Springs, FL 32701-4731
Phone
(407) 830-4777
Fax
(407) 830-4762
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Shyam B Paryani, MD
Title
Director
Phone
(904) 309-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

106 Boston Ave
Suite 103
Altamonte Springs, FL 32701-4731

Mailing address

PO Box 19634
Jacksonville, FL 32245-9634
Phone (904) 309-8680

Other identifiers 1

IdentifierTypeStateIssuer
0027JOtherFLBCBS

Other names 1

  • Center for Urology Doing business as

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
10D2053262Center for Urology106 Boston Ave Ste 103, Altamonte Springs, FL 32701Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory

Locations

106 Boston Ave
Ste 103
Altamonte Springs, FL 32701
Phone (407) 830-4777

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1225307143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19634",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459634",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BOSTON AVE",
            "address_2": "SUITE 103",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014731",
            "telephone_number": "407-830-4777",
            "fax_number": "407-830-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PARYANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.