Individual provider Active NPI

Edward Posnak, M.D.

  • Dermatology Physician
  • Orlando, FL
National Provider Identifier
1417908773
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME63311 Issued in FL
Practice address
300 E Hazel St
Orlando, FL 32804-4023
Phone
(407) 898-3033
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME63311 FL Primary

Addresses

Primary practice location

300 E Hazel St
Orlando, FL 32804-4023

Mailing address

300 E Hazel St
Orlando, FL 32804-4023
Phone (407) 898-3033

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
I20160901001750 FL Practitioner - Dermatology 3274768452 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group PA CurrentSince Aug 18, 2016 Accepting new patients
Steven M. Price, MD PA Dermatology CurrentSince Aug 18, 2016 Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients

Locations

515 W State Road 434
Ste 210
Longwood, FL 32750
Phone (407) 332-8080

2850 Morningside Dr
Mount Dora, FL 32757
Phone (352) 383-0733

300 E Hazel St
Orlando, FL 32804
Phone (407) 898-3033

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1417908773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HAZEL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044023",
            "telephone_number": "407-898-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HAZEL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044023",
            "telephone_number": "407-898-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSNAK",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME63311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.