Individual provider Active NPI

Emmanuel Ogundeinde

  • Non-emergency Medical Transport (VAN)
  • Orlando, FL
National Provider Identifier
1457654147
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0253220171120 Issued in FL
Practice address
4430 Martins Way Apt D
Orlando, FL 32808-1141
Phone
(407) 437-6937
Fax
(407) 574-3595
NPI assigned
Dec 17, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0253220171120 FL Primary

Addresses

Primary practice location

4430 Martins Way Apt D
Orlando, FL 32808-1141

Mailing address

4430 Martins Way Apt D
Orlando, FL 32808-1141
Phone (407) 437-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0253220171120FLMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1457654147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MARTINS WAY APT D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081141",
            "telephone_number": "407-437-6937",
            "fax_number": "407-574-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MARTINS WAY APT D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328081141",
            "telephone_number": "407-437-6937",
            "fax_number": "407-574-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNDEINDE",
        "first_name": "EMMANUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "0253220171120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.