Organization Active NPI

Orlando Medical Group LLC

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1295749141
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on May 13, 2009

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
273904600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061222000248 FL Part B Supplier - Clinic/Group Practice 1456351410 Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.