Organization Active NPI

Sarah Willard MD PA

  • Surgery Physician
  • Orlando, FL
National Provider Identifier
1235363425
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME71364 Issued in FL
Legal business name
SARAH WILLARD MD PA
Practice address
1802 Bellevue Ave
Suite 101
Orlando, FL 32806-2933
Phone
(407) 425-5537
Fax
(407) 426-0576
NPI assigned
May 4, 2009
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Sarah Camp Willard, MDNPI 1518021781
Title
MD
Phone
(407) 425-5587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME71364 FL Primary

Addresses

Primary practice location

1802 Bellevue Ave
Suite 101
Orlando, FL 32806-2933

Mailing address

PO Box 568906
Orlando, FL 32856-8906
Phone (407) 425-5587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1235363425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568906",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328568906",
            "telephone_number": "407-425-5587",
            "fax_number": "407-426-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BELLEVUE AVE",
            "address_2": "SUITE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062933",
            "telephone_number": "407-425-5537",
            "fax_number": "407-426-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH WILLARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "CAMP",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "407-425-5587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME71364",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.