Organization Active NPI

Westside Medical Clinic PA

  • Emergency Medicine Physician
  • Orlando, FL
National Provider Identifier
1619039765
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME40999 Issued in FL
Legal business name
WESTSIDE MEDICAL CLINIC PA
Practice address
5084 W Colonial Dr
Orlando, FL 32808-7666
Phone
(407) 822-4739
Fax
(407) 822-4789
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roman Mosai, M.D.NPI 1093877144
Title
President
Phone
(407) 822-4739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X ME40999 FL Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME40999 FL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME40999 FL

Addresses

Primary practice location

5084 W Colonial Dr
Orlando, FL 32808-7666

Mailing address

5084 W Colonial Dr
Orlando, FL 32808-7666
Phone (407) 822-4739

Other names 1

  • ROMAN MOSAI, INC Former legal business name

National Provider Directory

National Provider Directory

Locations

5084 W Colonial Dr
Orlando, FL 32808
Phone (407) 822-4739

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1619039765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087666",
            "telephone_number": "407-822-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087666",
            "telephone_number": "407-822-4739",
            "fax_number": "407-822-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MOSAI",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-822-4739",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME40999",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME40999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME40999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROMAN MOSAI, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.