Organization Active NPI

Osceola Cancer Center

  • Specialist
  • Kissimmee, FL
National Provider Identifier
1629034202
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OSCEOLA CANCER CENTER
Practice address
737 W Oak St
Kissimmee, FL 34741-4937
Phone
(407) 933-2775
Fax
(407) 933-8549
NPI assigned
Apr 24, 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
Dr. Jorge Otoya, M.D.NPI 1558339796
Title
Vice President
Phone
(407) 933-2775

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

737 W Oak St
Kissimmee, FL 34741-4937

Mailing address

737 W Oak St
Kissimmee, FL 34741-4937
Phone (407) 933-2775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000771 FL Part B Supplier - Clinic/Group Practice 9537056080 Receives reassigned benefits from 8 practitioners
Practice locations: Kissimmee, FL

National Provider Directory

National Provider Directory

Locations

1134 Celebration Blvd
Celebration, FL 34747
Phone (407) 566-8778

400 Celebration Pl
#A270
Kissimmee, FL 34747
Phone (407) 705-5076

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1629034202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414937",
            "telephone_number": "407-933-2775",
            "fax_number": "407-933-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414937",
            "telephone_number": "407-933-2775",
            "fax_number": "407-933-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "OTOYA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "407-933-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, 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.
  • 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.