Organization Active NPI

Evans & Schroeder MD PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1669479671
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58-8012066520-5 Issued in FL
Legal business name
EVANS & SCHROEDER MD PA
Practice address
200 W Gore St
Orlando, FL 32806-1035
Phone
(407) 841-7724
Fax
(407) 841-9825
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mr. Rory A Evans, MDNPI 1538166590
Title
Owner
Phone
(407) 841-7724

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 58-8012066520-5 FL Primary

Addresses

Primary practice location

200 W Gore St
Orlando, FL 32806-1035

Mailing address

200 W Gore St
Orlando, FL 32806-1035
Phone (407) 841-7724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100713000617 FL Part B Supplier - Clinic/Group Practice 5193857050 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

200 W Gore St
Orlando, FL 32806
Phone (407) 841-7723

Practitioners & affiliated clinicians

Practitioners 3

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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1669479671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061035",
            "telephone_number": "407-841-7724",
            "fax_number": "407-841-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061035",
            "telephone_number": "407-841-7724",
            "fax_number": "407-841-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS & SCHROEDER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-841-7724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "58-8012066520-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2010; 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.