Active NPI
Christine A Kogoy, PA
- Medical Physician Assistant
- Orlando, FL
National Provider Identifier
1285604900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3425
- Practice address
- 3000 N Orange Ave Ste C
Orlando, FL 32804-7613 - Phone
- (800) 277-6819
- Fax
- (407) 386-6239
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3425 | FL | Primary |
Addresses
Primary practice location
3000 N Orange Ave Ste C
Orlando, FL 32804-7613
Mailing address
3000 N Orange Ave Ste C
Orlando, FL 32804-7613
Phone (800) 277-6819
Other practice location 1
13940 N US Highway 441 Ste 703
Lady Lake, FL 32159-8954
Phone (800) 277-6819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291544800 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3425 | FL | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1285604900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 N ORANGE AVE STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328047613",
"telephone_number": "800-277-6819",
"fax_number": "407-386-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 N ORANGE AVE STE C",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328047613",
"telephone_number": "800-277-6819",
"fax_number": "407-386-6239"
}
],
"practiceLocations": [
{
"address_1": "13940 N US Highway 441 Ste 703",
"address_purpose": "LOCATION",
"city": "Lady Lake",
"state": "FL",
"postal_code": "321598954",
"country_code": "US",
"telephone_number": "800-277-6819",
"fax_number": "407-386-6239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOGOY",
"first_name": "CHRISTINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA3425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291544800",
"state": "FL"
}
],
"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 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.