Florida ENT Adult & Pediatric PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME0077191 Issued in FL

Legal business name

FLORIDA ENT ADULT & PEDIATRIC PA

Practice address

1162 Cypress Glen Cir
Kissimmee, FL 34741-7560

Phone

(407) 343-9006

Fax

(407) 343-0999

NPI assigned

Mar 29, 2006

Organization subpart

No

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

Authorized official

Name

Omar Fadhli, MDNPI 1922160951

Title

Physician ENT Specialist

Phone

(407) 343-9006

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGADAA

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Atir Fadhli, M.D.

  • Otolaryngology Physician
  • Kissimmee, FL
  • NPI 1922160951
  Medicare reassignment Care Compare group NPD Authorized official
• Haley Nicole Danowski, AU.D.

  • Audiologist
  • Kissimmee, FL
  • NPI 1023849775
  Medicare reassignment Care Compare group NPD
• Catalina Rae Garcia

  • Physician Assistant
  • Kissimmee, FL
  • NPI 1417849423
  Medicare reassignment Care Compare group NPD
• Nathaly Pachon

  • Surgical Physician Assistant
  • Fort Myers, FL
  • NPI 1306655147
  Medicare reassignment Care Compare group NPD
• Hassan Emanuel Flowers, PA-C

  • Medical Physician Assistant
  • Kissimmee, FL
  • NPI 1104909480
  Medicare reassignment Care Compare group
• Patricia Oliva, PA-C

  • Medical Physician Assistant
  • Kissimmee, FL
  • NPI 1053870022
  Medicare reassignment Care Compare group
• Angelica Ema Walsh, PA-C

  • Physician Assistant
  • West Lebanon, NH
  • NPI 1770057572

  FL

  Medicare reassignment Care Compare group
• Susan Wells Aguiar, M.D.

  • Otolaryngology Physician
  • Lakeland, FL
  • NPI 1336143999
  Medicare reassignment NPD
• Nube Rosa Escobar, AU.D.

  • Audiologist
  • Hialeah, FL
  • NPI 1821233032
  Medicare reassignment NPD
• Annmarie Newman Barnett, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1437504925
  Medicare reassignment
• Mikaela Libunao, PA-C

  • Physician Assistant
  • Gainesville, FL
  • NPI 1255187977
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1316908353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-343-9006",
            "fax_number": "407-343-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-343-9006",
            "fax_number": "407-343-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ENT ADULT & PEDIATRIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "FADHLI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PHYSICIAN ENT SPECIALIST",
        "authorized_official_telephone_number": "407-343-9006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME0077191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AB304",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Health
• Florida Dialysis Center of Celebration LLC
• Florida Em-I Medical Services, PA
• Florida Emergency Physicians Kang and Associates MD LLC
• Florida Emi Medical Services PA
• Florida ENT Adult & Pediatrics, PA
• Florida Eye Clinic P a
• Florida Home Medical Supply LLC
• Florida Home Medical Supply, Inc.
• Florida Hospital Medical Group Inc

• Otolaryngology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.