Organization Active NPI

Orlando Physician Specialists LLC

Doing business as Southwest Cancer Center

  • Hematology & Oncology Physician
  • Orlando, FL
National Provider Identifier
1659641652
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ORLANDO PHYSICIAN SPECIALISTS LLC
Doing business as
Southwest Cancer Center
Practice address
922 Lucerne Ter
Orlando, FL 32806-1013
Phone
(407) 426-8660
Fax
(407) 426-6884
NPI assigned
Jan 6, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Shyam B Paryani, MD
Title
Director
Phone
(904) 309-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

922 Lucerne Ter
Orlando, FL 32806-1013

Mailing address

PO Box 19634
Jacksonville, FL 32245-9634
Phone (904) 309-8680

Other identifiers 1

IdentifierTypeStateIssuer
0027JOtherFLBCBS

Other names 1

  • Southwest Cancer Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0275007Southwest Cancer Center922 Lucerne Ter, Orlando, FL 32806AccreditationApr 26, 2028

National Provider Directory

National Provider Directory

Locations

922 Lucerne Ter
Orlando, FL 32806
Phone (407) 426-8660

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1659641652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19634",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459634",
            "telephone_number": "904-309-8680",
            "fax_number": "904-345-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061013",
            "telephone_number": "407-426-8660",
            "fax_number": "407-426-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PHYSICIAN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PARYANI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-309-8680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0027J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2012; 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.