Active NPI
Mark Addonizio, MD
- Anesthesiology Physician
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME68102
- Practice address
- 10000 W Colonial Dr
Ocoee, FL 34761-3498 - Phone
- (407) 667-0444
- Fax
- (407) 667-4338
- NPI assigned
- Jul 5, 2006
- Last updated
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME68102 | FL | Primary |
Addresses
Primary practice location
10000 W Colonial Dr
Ocoee, FL 34761-3498
Mailing address
291 Southhall LN
Suite 201
Maitland, FL 32751-7274
Phone (407) 667-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27801 | Other | FL | BCBS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68102 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Orlando Anesthesia Consultants PA | Anesthesiology | Current | Accepting new patients |
| Metro Orlando Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Mohawk Surgery Center LLC | Past | Accepting new patients | |
| Gulf Coast Hma Physician Management LLC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
291 Southhall Ln
Ste 201
Maitland, FL 32751
Phone (407) 687-0444
201 Mohawk Rd
Minneola, FL 34715
Phone (973) 979-9079
10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378
4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272
88 W Kaley St
Orlando, FL 32806
Phone (407) 423-0573
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1558981712
Anesthesiology
-
- Anesthesiology Physician
- Ocoee, FL
- NPI 1184661696
-
dba Gulf Coast Foot and Ankle
- Podiatrist
- Venice, FL
- NPI 1932470648
-
- Ambulatory Surgical Clinic/Center
- Minneola, FL
- NPI 1689133290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1396776928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 SOUTHHALL LN",
"address_2": "SUITE 201",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327517274",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W COLONIAL DR",
"city": "OCOEE",
"state": "FL",
"postal_code": "347613498",
"telephone_number": "407-667-0444",
"fax_number": "407-667-4338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDONIZIO",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME68102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "27801",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
- Acceptance LLC.
- Amanda Alexis Acevedo
- Roxanne Achong-Coan, OD
- Active Options LLC (Lloyda Rose-Baxter, MSN, ANP-BC, RN-BC, CCM)
- Acupuncture Health Center LLC
- Admire Restorative Mental Health Services Inc. (Ellie Mental Health Ocoee NW Orlando)
- Adnan a Khan MD LLC (Premier Internal Medicine of Ocoee)
- Advanced Dental Care Ocoee PL
- Advanced Foot & Ankle of Central Florida
- Advanced Interventional Pain Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.