Individual provider Active NPI

Paul M Foreman, M.D.

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1649569302
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME141219 Issued in FL
Practice address
89 W Copeland Dr
Orlando, FL 32806-2002
Phone
(321) 841-7550
Fax
(321) 841-8185
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD466095 PA
Neurological Surgery Physician 207T00000X ME141219 FL Primary

Addresses

Primary practice location

89 W Copeland Dr
Orlando, FL 32806-2002

Mailing address

89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550

Other practice location 1

619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-3546

Other practice location 2

1000 East Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-6026

Other identifiers 1

IdentifierTypeStateIssuer
103397700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, PA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151006002428 AL Practitioner - NeurosurgeryPractitioner - Emergency Medicine 2769628411
I20190107000409 PA Practitioner - Neurosurgery 2769628411 Reassigns benefits to 1 organization
I20190729001080 FL Practitioner - Neurosurgery 2769628411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 841-7550

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Neurological Surgery CurrentSince Sep 1, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jan 14, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jan 14, 2019 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2019 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

100 N Academy Ave
Danville, PA 17822

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pforeman33267@orlandohealth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1649569302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062002",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W COPELAND DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062002",
            "telephone_number": "321-841-7550",
            "fax_number": "321-841-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "205-934-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 East Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "18711",
            "country_code": "US",
            "telephone_number": "570-808-6026",
            "fax_number": "570-808-3298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD466095",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME141219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103397700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.