Osteopathic Health of Baldwin Park

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

OSTEOPATHIC HEALTH OF BALDWIN PARK

Practice address

4625 Halder LN Ste C
Orlando, FL 32814-6416

Phone

(407) 506-4776

Fax

(407) 203-4018

NPI assigned

Feb 2, 2021

Last updated

Feb 2, 2021By 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

Shawn St. Marie, DONPI 1538470877

Title

Owner

Phone

(407) 506-4776

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shawn Patrick St. Marie, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Orlando, FL
  • NPI 1538470877
  NPD Authorized official

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1558952390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 HALDER LN STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146416",
            "telephone_number": "407-506-4776",
            "fax_number": "407-203-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 HALDER LN STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146416",
            "telephone_number": "407-506-4776",
            "fax_number": "407-203-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC HEALTH OF BALDWIN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "ST. MARIE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-506-4776",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrna Ossa
• David Andrew Ossin, M.D.
• David Scott Osteen, MD
• Nicole Jean Osteen
• Reef Ostendorf
• Jennifer Osterhaus
• Aigereem Osti
• Julie Oswald
• Anthony F. Oswick, D.M.D.
• OT Skills 4 Kids LLC

• Neuromusculoskeletal Medicine & OMM Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.