Individual provider Active NPI

Perry Marc Dworkin, D.O.

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1245237338
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS 2522 Issued in FL
Practice address
7208 W Sand Lake Rd
Suites 102 & 303
Orlando, FL 32819-5200
Phone
(407) 210-0210
Fax
(407) 210-0220
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS 2522 FL Primary

Addresses

Primary practice location

7208 W Sand Lake Rd
Suites 102 & 303
Orlando, FL 32819-5200

Mailing address

277 Douglas Ave Ste 1014
Altamonte Springs, FL 32714-3321
Phone (407) 788-2888

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 2522FLMDDiagnostic Radiology Physician
1059NVMDMassage Therapist
334FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Apex Radiology Past Accepting new patients
Baker County Medical Services Inc Past Accepting new patients
Drew Medical Inc Past Accepting new patients
Apex Radiology, Incorporated Diagnostic Radiology Past Accepting new patients
Tampa Bay Radiology Associates PA Diagnostic Radiology PastSince May 17, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1245237338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 DOUGLAS AVE STE 1014",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143321",
            "telephone_number": "407-788-2888",
            "fax_number": "407-215-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7208 W SAND LAKE RD",
            "address_2": "SUITES 102 & 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195200",
            "telephone_number": "407-210-0210",
            "fax_number": "407-210-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORKIN",
        "first_name": "PERRY",
        "middle_name": "MARC",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS 2522",
            "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 Oct 19, 2007; 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.