Osceola OB-GYN PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OSCEOLA OB-GYN PA

Practice address

1160 Cypress Glen Cir
Kissimmee, FL 34741-7560

Phone

(407) 518-1074

Fax

(407) 518-9056

NPI assigned

Feb 21, 2007

Last updated

Feb 18, 2014By 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

Michael R Denardis, DONPI 1245378033

Title

DO

Phone

(407) 518-1074

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2183/brand/323/csg/2162/fhir/r4

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.

• Michael R Denardis, DO

  • Obstetrics & Gynecology Physician
  • Kissimmee, FL
  • NPI 1245378033
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1609911825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-518-1074",
            "fax_number": "407-518-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "407-518-1074",
            "fax_number": "407-518-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA OB-GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "DENARDIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "407-518-1074",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004198400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osceola Kissimmee Limited Partnership (The Palms at Park Place)
• Osceola Mediclinic
• Osceola Mental Health Inc (Park Place Behavioral Health Care)
• Osceola Mental Health Inc. (Park Place Behavioral Health Care)
• Osceola Neurological Associates LLC
• Osceola Optical & Eye Care (Viviana del C. Lopez)
• Osceola Pathology Associates, PA
• Osceola Physician Management Inc (opm)
• Osceola Radiology Associates PA
• Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)

• Obstetrics & Gynecology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.