Individual provider Active NPI

Mark W Gilchrist, MD

  • Pediatrics Physician
  • Ocoee, FL
National Provider Identifier
1679659882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME57130 Issued in FL
Practice address
10000 West Colonial Drive
Suite # 390
Ocoee, FL 34761
Phone
(407) 290-2394
Fax
(407) 521-3640
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME57130 FL Primary

Addresses

Primary practice location

10000 West Colonial Drive
Suite # 390
Ocoee, FL 34761

Mailing address

10000 West Colonial Drive
Suite # 390
Ocoee, FL 34761
Phone (407) 290-2394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221105000102 FL Practitioner - Pediatric Medicine 6608243571 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Dec 1, 2022 Accepting new patients

Locations

2920 Maguire Rd
Ste 1001
Ocoee, FL 34761
Phone (407) 654-6506

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679659882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WEST COLONIAL DRIVE",
            "address_2": "SUITE # 390",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-290-2394",
            "fax_number": "407-521-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WEST COLONIAL DRIVE",
            "address_2": "SUITE # 390",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-290-2394",
            "fax_number": "407-521-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCHRIST",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME57130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.