Active NPI
Orlando Health Inc
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1669419370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ORLANDO HEALTH INC
- Practice address
- 89 W Copeland Dr
1St Floor
Orlando, FL 32806-2028 - Phone
- (407) 841-5281
- Fax
- (407) 648-9879
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | |||
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatrics Physician | 208000000X | |||
| Pediatric Gastroenterology Physician | 2080P0206X | |||
| Pediatric Nephrology Physician | 2080P0210X |
Addresses
Primary practice location
89 W Copeland Dr
1St Floor
Orlando, FL 32806-2028
Mailing address
89 W Copeland Dr
1St Floor
Orlando, FL 32806-2028
Phone (407) 841-5281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77559 | Other | FL | BCBS |
| 8720143 | Other | FL | AETNA |
| 060985400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
89 W Copeland Dr
Fl 1
Orlando, FL 32806
Phone (321) 843-8900
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": "1255305600000",
"number": "1669419370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"address_2": "1ST FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062028",
"telephone_number": "407-841-5281",
"fax_number": "407-648-9879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"address_2": "1ST FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062028",
"telephone_number": "407-841-5281",
"fax_number": "407-648-9879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2009-10-12",
"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": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Nephrology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "77559",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8720143",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060985400",
"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 Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.