Eric J. Edelenbos, D.O.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS9412 Issued in FL

Practice address

3000 Hunters Creek Blvd
Orlando, FL 32837-6901

Phone

(407) 857-2502

Fax

(407) 857-1855

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Women'S Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1013902923
  Medicare reassignment NPD
• Womens' Health Hospitalists, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1205295599
  Medicare reassignment NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1376504662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HUNTERS CREEK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376901",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HUNTERS CREEK BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376901",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 17th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696018",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10775 Narcoossee Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328327177",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Lucerne Ter",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328013732",
            "country_code": "US",
            "telephone_number": "407-857-2502",
            "fax_number": "407-857-1855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELENBOS",
        "first_name": "ERIC",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS9412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273408700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddie M Thompson D.M.D., PA
• Bharathi Eddula Changala
• Jared Eddy, DPM
• Joy Edegbe, M.D
• Randa Edelbi, OD
• Julian Shayne Edelschick, M.D.
• Eden Manor
• Eden Medical Clinic
• Abigail Edery, PA
• Edgar a Martorell MD LLC

• Gynecology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.