Active NPI
Oscar J Ordenana, P.A.
- Surgical Physician Assistant
- Lake Worth, FL
National Provider Identifier
1548273097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9101497
- Practice address
- 1926 10TH Ave N Ste 105
Lake Worth, FL 33461-3300 - Phone
- (800) 348-4565
- Fax
- (888) 468-6511
- NPI assigned
- Aug 15, 2006
- Last updated
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9101497 | FL | Primary |
Addresses
Primary practice location
1926 10TH Ave N Ste 105
Lake Worth, FL 33461-3300
Mailing address
3100 W End Ave
Suite 800
Nashville, TN 37203-1320
Phone (615) 345-5400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292141300 | Medicaid | FL | |
| Y00UK | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9101497 | FL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remote Neuromonitoring Physicians ,PC | Past | Accepting new patients | |
| Healthcare Surgical Services, Inc. | Surgical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1548273097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W END AVE",
"address_2": "SUITE 800",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031320",
"telephone_number": "615-345-5400",
"fax_number": "888-468-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1926 10TH AVE N STE 105",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334613300",
"telephone_number": "800-348-4565",
"fax_number": "888-468-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORDENANA",
"first_name": "OSCAR",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9101497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292141300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y00UK",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.