Organization Active NPI

Sadi a Abusrur MD PLLC

Doing business as South Orange Pain Management

  • Anesthesiology Physician
  • Orlando, FL
National Provider Identifier
1518217561
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME33741 Issued in FL
Legal business name
SADI A ABUSRUR MD PLLC
Doing business as
South Orange Pain Management
Practice address
2116 S Orange Ave
Suite B
Orlando, FL 32806-3037
Phone
(407) 704-8990
Fax
(407) 730-5936
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Sadi A Abusrur, MD
Title
Medical Director
Phone
(407) 704-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X ME33741 FL Primary

Addresses

Primary practice location

2116 S Orange Ave
Suite B
Orlando, FL 32806-3037

Mailing address

2116 S Orange Ave
Suite B
Orlando, FL 32806-3037
Phone (407) 704-8990

Other identifiers 1

IdentifierTypeStateIssuer
1912095258OtherFLTYPE 1 NPI

Other names 1

  • South Orange Pain Management Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1518217561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063037",
            "telephone_number": "407-704-8990",
            "fax_number": "407-730-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S ORANGE AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063037",
            "telephone_number": "407-704-8990",
            "fax_number": "407-730-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADI A ABUSRUR MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "ABUSRUR",
        "authorized_official_first_name": "SADI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "407-704-8990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME33741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1912095258",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Orange Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2012; 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.