Individual provider Active NPI

Dana Delores Teagarden, D.O.

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1336238682
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS15395 Issued in FL
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

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100191000MedicaidFL
4066101OtherTNTENNCARE PROVIDER
4066101OtherTNBLUE CROSS BLUE SHIELD
4283643OtherTNBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190123000461 FL Practitioner - Obstetrics/Gynecology 7214002195 Reassigns benefits to 3 organizations

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
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

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 Hospital, Wellington, FL, CCN 100275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15395FLMDObstetrics & Gynecology Physician
1550TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 1, 2022 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jan 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 1, 2022 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

  • Direct secure messaging: dana.teagarden.1@13043.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.