Anesthesiologists of Greater Orlando Inc
Organization Active NPI Anesthesiology Physician · Orlando, FL
NPI 1609540756 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1609540756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ANESTHESIOLOGISTS OF GREATER ORLANDO INC
- Practice address
- 1405 S Orange Ave Ste 400
Orlando, FL 32806-2147 - Phone
- (877) 328-1119
- NPI assigned
- Aug 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Kathleen Kondas
- Title
- Officer
- Phone
- (877) 328-1119
Other NPIs on the same Medicare enrollment 21
Practitioners 8
-
Cassandra Laveus, CRNA
-
Michael A. Lombardo, CRNA
-
Derek M Makowski, RN
-
Jianlong Mu, M.D
-
Monica L Firme, CRNA
-
Nicholas Kirch, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040803000929 | FL | Part B Supplier - Clinic/Group Practice | 7416928536 |
Receives reassigned benefits from 518 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Garden, FL; Windermere, FL; Saint Cloud, FL; Orlando, FL; Ocoee, FL; Lake Mary, FL; Clermont, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1405 S Orange Ave Ste 400
Orlando, FL 32806-2147
Mailing address
5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563
Phone (877) 328-1119
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.