Individual provider Active NPI

Jon F Sweet, MD

  • Obstetrics & Gynecology Physician
  • Sanford, FL
National Provider Identifier
1538188115
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME64008 Issued in FL
Practice address
4932 W State Road 46 Ste 1090
Sanford, FL 32771
Phone
(407) 635-3340
Fax
(407) 636-7852
NPI assigned
Jul 18, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME64008 FL Primary

Addresses

Primary practice location

4932 W State Road 46 Ste 1090
Sanford, FL 32771

Mailing address

4932 W State Road 46 Ste 1090
Sanford, FL 32771-9244
Phone (407) 635-3340

Other identifiers 3

IdentifierTypeStateIssuer
372984200MedicaidFL
18952OtherFLBCBS
P00387706OtherRAILROAD MEDICARE

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
I20070131000437 FL Practitioner - Obstetrics/Gynecology 4981606175 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME64008FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Apr 17, 2006 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 17, 2006 Accepting new patients
Orlando Health Medical Group Inc Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
Womencare PA Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

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

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

4401 S Orange Ave
Ste 113
Orlando, FL 32806

83 W Miller St
Orlando, FL 32806
Phone (321) 841-5281

7404 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 381-7387

4932 W State Road 46
Ste 1090
Sanford, FL 32771
Phone (407) 635-3330

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1538188115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 W STATE ROAD 46 STE 1090",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719244",
            "telephone_number": "407-635-3340",
            "fax_number": "407-636-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 W STATE ROAD 46 STE 1090",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771",
            "telephone_number": "407-635-3340",
            "fax_number": "407-636-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEET",
        "first_name": "JON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME64008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372984200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18952",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00387706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.