Individual provider Active NPI

Patrick J Karson, DO

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1245339191
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0003781 Issued in FL
Practice address
204 Hazard St
Orlando, FL 32804
Phone
(407) 383-0784
Fax
(904) 346-0113
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS3781 FL
Emergency Medicine Physician 207P00000X OS0003781 FL Primary

Addresses

Primary practice location

204 Hazard St
Orlando, FL 32804

Mailing address

204 Hazard St
Orlando, FL 32804-3030
Phone (407) 383-0784

Other practice location 1

2906 17th St
Saint Cloud, FL 34769-6006
Phone (407) 425-4847

Other practice location 2

204 Hazard St
Orlando, FL 32804-3030
Phone (407) 383-0784

Other identifiers 3

IdentifierTypeStateIssuer
930065542OtherFLRAILROAD MEDICARE
271829400MedicaidFL
82162OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101230000522 FL Practitioner - Emergency Medicine 6204024540 Reassigns benefits to 1 organization
I20220428001838 SC Practitioner - Emergency Medicine 6204024540 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3781FLMDPeriodontist
OS0003781FLMDEmergency Medicine Physician
OS3781FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Feb 6, 1998 Accepting new patients

Locations

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

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

2906 17th St
Saint Cloud, FL 34769
Phone (407) 425-4847

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1245339191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HAZARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328043030",
            "telephone_number": "407-383-0784",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HAZARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-383-0784",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2906 17th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696006",
            "country_code": "US",
            "telephone_number": "407-425-4847",
            "fax_number": "904-346-0113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Hazard St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328043030",
            "country_code": "US",
            "telephone_number": "407-383-0784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARSON",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS3781",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0003781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930065542",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271829400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82162",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.