Active NPI
Orlando Health Inc
- Orthopaedic Surgery Physician
- Orlando, FL
National Provider Identifier
1669419362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORLANDO HEALTH INC
- Practice address
- 22 W Underwood St
4TH Floor
Orlando, FL 32806-1110 - Phone
- (407) 649-6878
- Fax
- (407) 843-7381
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Eggert
- Title
- VP Revenue Management
- Phone
- (407) 237-6393
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
22 W Underwood St
4TH Floor
Orlando, FL 32806-1110
Mailing address
22 W Underwood St
4TH Floor
Orlando, FL 32806-1110
Phone (407) 649-6878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062568000 | Medicaid | FL | |
| 5455627 | Other | FL | AETNA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2283613 | Orlando Health Cancer Institute | Accreditation | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
22 Underwood St
Fl 4
Orlando, FL 32806
Phone (407) 648-5384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232668800000",
"number": "1669419362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 W UNDERWOOD ST",
"address_2": "4TH FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6878",
"fax_number": "407-843-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W UNDERWOOD ST",
"address_2": "4TH FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6878",
"fax_number": "407-843-7381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2009-01-23",
"status": "A",
"authorized_official_last_name": "EGGERT",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "VP REVENUE MANAGEMENT",
"authorized_official_telephone_number": "407-237-6393"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062568000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5455627",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}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 Jan 23, 2009; 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.