Individual provider Active NPI

Oberziner V White, PA-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1285146506
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9110741 Issued in FL
Practice address
1222 S Orange Ave
Orlando, FL 32806-1215
Phone
(321) 841-6444
Fax
(407) 650-1307
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110741 FL
Medical Physician Assistant 363AM0700X PA9110741 FL Primary

Addresses

Primary practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave
Orlando, FL 32806-1215
Phone (321) 841-6444

Other identifiers 1

IdentifierTypeStateIssuer
023185900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119000716 FL Practitioner - Physician Assistant 0547529505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

100 N Dean Rd
Orlando, FL 32825-3710
Phone (407) 896-1100

1000 W Broadway St
Oviedo, FL 32765-9260
Phone (407) 298-6950

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033

1001 E Osceola Pkwy
Kissimmee, FL 34744-1616

1006 N Parrott Ave
Okeechobee, FL 34972-2110
Phone (863) 357-0065

1222 S Orange Ave
Orlando, FL 32806-1215

1330 Budinger Ave
Saint Cloud, FL 34769-4123

1578 W Orange Blossom TRL
Apopka, FL 32712-2639

1920 Don Wickham Dr
Clermont, FL 34711-1918
Phone (407) 351-5384

2080 Oakley Seaver Dr
Clermont, FL 34711-1962

2320 N Orange Ave
Suite 201
Orlando, FL 32804-5501
Phone (321) 841-7856

3102 Kurt St
Eustis, FL 32726-6529
Phone (352) 357-0055

32 W Gore St
Orlando, FL 32806-1134

392 Rinehart Rd
Suite 1090
Lake Mary, FL 32746-2527
Phone (321) 843-6444

400 S Maitland Ave
Maitland, FL 32751-5619
Phone (407) 539-2100

4150 US 27
Sebring, FL 33870-5515
Phone (863) 386-0054

511 Medical Plaza Dr
Suite 101
Leesburg, FL 34748-7328
Phone (352) 728-6808

5151 Winter Garden Vineland Rd
Windermere, FL 34786-6098

521 W State Rd
Suite 434
Longwood, FL 32750-4984
Phone (321) 841-6444

61 Riley Rd
Celebration, FL 34747-5419
Phone (407) 650-1300

719 Rodel CV
Lake Mary, FL 32746-5716

7236 Stonerock Cir
Orlando, FL 32819-8000
Phone (321) 841-6047

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9110741FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

1920 Don Wickham Dr
Clermont, FL 34711
Phone (352) 243-5891

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

587 E State Road 434
Longwood, FL 32750
Phone (407) 896-1100

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

3745 11th Cir
Ste 105
Vero Beach, FL 32960
Phone (772) 564-2485

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: owhite30911@orlandohealth.medalliesdirect.net

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": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1285146506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-6444",
            "fax_number": "407-650-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "OBERZINER",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110741",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023185900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.