Orlando Physician Specialists LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ORLANDO PHYSICIAN SPECIALISTS LLC

Doing business as

Clermont Cancer Center - Radiation Oncology

Practice address

3599 University Blvd S
Suite 805
Jacksonville, FL 32216-4252

Phone

(904) 309-8680

Fax

(904) 345-5841

NPI assigned

Jul 11, 2013

Last updated

Jul 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shyam B Paryani, MD

Title

Director

Phone

(904) 309-8680

Specialties & licenses 1

Addresses

Other names 1

• Clermont Cancer Center - Radiation Oncology Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanne M Keller, ARNP

  • Women's Health Nurse Practitioner
  • Mount Dora, FL
  • NPI 1306800131
  NPD (past)
• Srikiran Pothamsetty, M.D.

  • Gastroenterology Physician
  • Orlando, FL
  • NPI 1821190562
  NPD (past)

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1497196083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111924",
            "telephone_number": "352-242-1366",
            "fax_number": "352-242-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "address_2": "SUITE 805",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "PARYANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Cancer Center - Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Marie Organ, PHYSICIAN ASSISTANT
• Robert James Orgill, CRNA
• Origin Diagnostics
• Justin Michael Oring, D.O.
• Eliza Lowry Orlandini, BCBA, RBT
• Christopher Orlando, MD
• Erin Orlando, RBT
• Shannon C Orlando
• Orles Pain Management & Regenerative Medicine GRP
• Samantha Orloff

• Radiation Oncology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.