Active NPI
Dana Delores Teagarden, D.O.
- Obstetrics & Gynecology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS15395
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 975-0406
- NPI assigned
- Oct 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DO1550 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | OS15395 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 975-0406
Other practice location 1
10810 Parkside Dr
Suite 306
Knoxville, TN 37934-1979
Phone (865) 218-6230
Other practice location 2
770 Northpoint Pkwy Ste 102
West Palm Beach, FL 33407-1901
Phone (561) 275-7604
Other practice location 3
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (407) 975-0406
Other practice location 4
601 E Altamonte Dr
Altamonte Springs, FL 32701-4802
Phone (407) 975-0406
Other practice location 5
400 Celebration Pl
Celebration, FL 34747-4970
Phone (407) 975-0406
Other practice location 6
200 N Lakemont Ave
Winter Park, FL 32792-3273
Phone (407) 975-0406
Other practice location 7
770 Northpoint Pkwy Ste 200
West Palm Beach, FL 33407
Phone (561) 655-3331
Other practice location 8
83 W Miller St
Orlando, FL 32806-2031
Phone (321) 843-5523
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100191000 | Medicaid | FL | |
| 4066101 | Other | TN | TENNCARE PROVIDER |
| 4066101 | Other | TN | BLUE CROSS BLUE SHIELD |
| 4283643 | Other | TN | BLUE CROSS BLUE SHIELD OF TENNESSEE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2815 S Seacrest Blvd
Suite 112
Boynton Beach, FL 33435-7531
Phone (561) 737-7733
Hospital & facility affiliations
- Wellington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15395 | FL | MD | Obstetrics & Gynecology Physician |
| 1550 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Knoxville Gynecologic Cancer Specialists, P.C. | Past | Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- dana.teagarden.1@13043.direct.athenahealth.com
- lmcdteaga@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
Obstetrics & Gynecology
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Gynecologic Oncology Physician
- Knoxville, TN
- NPI 1912053760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1336238682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-975-0406"
}
],
"practiceLocations": [
{
"address_1": "10810 Parkside Dr",
"address_2": "Suite 306",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379341979",
"country_code": "US",
"telephone_number": "865-218-6230",
"fax_number": "865-218-6231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 Northpoint Pkwy Ste 102",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334071901",
"country_code": "US",
"telephone_number": "561-275-7604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 Memorial Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321175167",
"country_code": "US",
"telephone_number": "407-975-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Altamonte Dr",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327014802",
"country_code": "US",
"telephone_number": "407-975-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Celebration Pl",
"address_purpose": "LOCATION",
"city": "Celebration",
"state": "FL",
"postal_code": "347474970",
"country_code": "US",
"telephone_number": "407-975-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 N Lakemont Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327923273",
"country_code": "US",
"telephone_number": "407-975-0406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 Northpoint Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "33407",
"country_code": "US",
"telephone_number": "561-655-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "83 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062031",
"country_code": "US",
"telephone_number": "321-843-5523",
"fax_number": "321-843-2068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGARDEN",
"first_name": "DANA",
"middle_name": "DELORES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "DO1550",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS15395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100191000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE PROVIDER",
"identifier": "4066101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4066101",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
"identifier": "4283643",
"state": "TN"
}
],
"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 Jan 31, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.