Individual provider Active NPI

Omar A Zwain, M.D.

  • Obstetrics & Gynecology Physician
  • Winter Park, FL
National Provider Identifier
1477816890
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME159490 Issued in FL
Practice address
100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125
Phone
(407) 303-4190
Fax
(407) 303-4192
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301101301 MI
Gynecology Physician 207VG0400X 4301101301 MI
Obstetrics & Gynecology Physician 207V00000X ME159490 FL Primary

Addresses

Primary practice location

100 N Edinburgh Dr Ste 102
Winter Park, FL 32792-4125

Mailing address

22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Phone (248) 849-3401

Other practice location 1

3990 John R St
Detroit, MI 48201-2018
Phone (313) 993-4030

Other practice location 2

22255 Greenfield Rd Ste 352
Southfield, MI 48075
Phone (248) 849-3401

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
I20230104002482 FL Practitioner - Obstetrics/Gynecology 4880992890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2005 Mizell Ave
Winter Park, FL 32792-4126
Phone (407) 646-7380

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101301MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 17, 2022 Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 17, 2022 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

100 N Edinburgh Dr
Ste 102
Winter Park, FL 32792
Phone (407) 303-4190

2005 Mizell Ave
Ste 2100
Winter Park, FL 32792
Phone (407) 303-4190

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ozwain936631@adventhealth.direct-ci.com
  • Direct secure messaging: ozwain2121661@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1477816890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD STE 352",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753712",
            "telephone_number": "248-849-3401",
            "fax_number": "248-849-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDINBURGH DR STE 102",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924125",
            "telephone_number": "407-303-4190",
            "fax_number": "407-303-4192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-993-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22255 Greenfield Rd Ste 352",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48075",
            "country_code": "US",
            "telephone_number": "248-849-3401",
            "fax_number": "248-849-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWAIN",
        "first_name": "OMAR",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301101301",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "4301101301",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME159490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.