Organization Active NPI

Orlando Physician Specialists LLC

  • Urology Physician
  • Winter Park, FL
National Provider Identifier
1346599016
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ORLANDO PHYSICIAN SPECIALISTS LLC
Practice address
111 N Lakemont Ave
Suite 2D
Winter Park, FL 32792-3213
Phone
(407) 622-2030
Fax
(407) 622-2333
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Shyam B Paryani, MD
Title
Director
Phone
(904) 309-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

111 N Lakemont Ave
Suite 2D
Winter Park, FL 32792-3213

Mailing address

PO Box 19634
Jacksonville, FL 32245-9634
Phone (904) 309-8680

Other identifiers 1

IdentifierTypeStateIssuer
0027JOtherFLBCBSFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1346599016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19634",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459634",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LAKEMONT AVE",
            "address_2": "SUITE 2D",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923213",
            "telephone_number": "407-622-2030",
            "fax_number": "407-622-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "PARYANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "0027J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.