Active NPI
Orlando Medical Group LLC
- Internal Medicine Physician
- Clermont, FL
National Provider Identifier
1295749141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ORLANDO MEDICAL GROUP LLC
- Practice address
- 841 Oakley Seaver Drive
Unit a
Clermont, FL 34711-1971 - Phone
- (352) 241-0037
- Fax
- (352) 241-0067
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Indra Ramlachan
- Title
- Office Manager
- Phone
- (352) 241-0037
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
841 Oakley Seaver Drive
Unit a
Clermont, FL 34711-1971
Mailing address
841 Oakley Seaver Drive
Unit a
Clermont, FL 34711-1971
Phone (352) 241-0037
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273904600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061222000248 | FL | Part B Supplier - Clinic/Group Practice | 1456351410 | Practice locations: Clermont, FL |
National Provider Directory
National Provider DirectoryLocations
841 Oakley Seaver Dr
Ste A
Clermont, FL 34711
4790 N Orange Blossom Trl
Unit D
Orlando, FL 32810
Phone (407) 298-0461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1295749141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 OAKLEY SEAVER DRIVE",
"address_2": "UNIT A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111971",
"telephone_number": "352-241-0037",
"fax_number": "352-241-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 OAKLEY SEAVER DRIVE",
"address_2": "UNIT A",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111971",
"telephone_number": "352-241-0037",
"fax_number": "352-241-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "RAMLACHAN",
"authorized_official_first_name": "INDRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-241-0037"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "273904600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
- Orlando Family Physicians, LLC
- Orlando Foot and Ankle Clinic Inc
- Orlando Foot and Ankle Clinic, Inc
- Orlando Health Inc.
- Orlando Health Medical Group Inc
- Orlando Physician Specialists LLC
- Orlando Physician Specialists LLC
- Orlando Physicians Network Inc
- Orlando Physicians Network Inc
- Orlando Rehabilitation Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.