Osceola Surgical Associates LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OSCEOLA SURGICAL ASSOCIATES LLC

Practice address

320 W Bass St
Kissimmee, FL 34741-5001

Phone

(407) 870-0808

Fax

(407) 846-9115

NPI assigned

Jun 13, 2008

Last updated

May 16, 2024By 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

John Mark Rodkey

Title

VP

Phone

(850) 523-2117

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 92

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.

• Neal Agee, MD

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1295005395
  Medicare reassignment Care Compare group NPD
• Ayman Abdel-Shakour Kamel Al-Salaimeh, M,D,

  • Neurology Physician
  • Kissimmee, FL
  • NPI 1154609485
  Medicare reassignment Care Compare group NPD
• Emilio Alonso Jr., M.D.

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1649619115
  Medicare reassignment Care Compare group NPD
• Mohammad Badar Anwer, MD

  • Gastroenterology Physician
  • Kissimmee, FL
  • NPI 1285643445
  Medicare reassignment Care Compare group NPD
• Emily Beorlegui, APRN

  • Gerontology Nurse Practitioner
  • Orlando, FL
  • NPI 1528653847
  Medicare reassignment Care Compare group NPD
• Nicole Rachelle Brenner, M.D.

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1104212695
  Medicare reassignment Care Compare group NPD
• Christopher Scott Bryant, MD

  • Gynecologic Oncology Physician
  • Orlando, FL
  • NPI 1801836366
  Medicare reassignment Care Compare group NPD
• Paul Gagarin Colmenares Rodriguez, FNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1447800164
  Medicare reassignment Care Compare group NPD
• Barry Alan Cook, M.D.

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1942287149
  Medicare reassignment Care Compare group NPD
• Roger Crouse, MD

  • Internal Medicine Physician
  • Kissimmee, FL
  • NPI 1477538197
  Medicare reassignment Care Compare group NPD
• Nathan Christopher Deangelis, D.O.

  • Surgery Physician
  • Lake Mary, FL
  • NPI 1063651131
  Medicare reassignment Care Compare group NPD
• Gerard Deib

  • Neuroradiology Physician
  • The Villages, FL
  • NPI 1942535059
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1578723540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W BASS ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415001",
            "telephone_number": "407-870-0808",
            "fax_number": "407-846-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "RODKEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "850-523-2117"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00674127  GRP#D0365",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047675700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000352300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
• Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
• Osceola Regional Hospital, Inc. (Kissimmee Physical Therapy Center, a part of HCA Florida Osceola Hospital)
• Osceola Regional Hospitalists LLC
• Osceola Sunrise Special Care
• Osceola Surgical Associates LLC
• Osceola Surgical Associates LLC
• Osceola Therapeutic Wellness Center
• Osceola Urgent Care Inc
• Sherifat Adekemi Oseni

• Surgery Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.