Active NPI
Kathryn Vorwald, MD, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN27498
- Practice address
- 2150 Harden Blvd
Lakeland, FL 33803-5917 - Phone
- (863) 665-8878
- Fax
- (863) 665-1096
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | ME131781 | FL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN27498 | FL | Primary |
Addresses
Primary practice location
2150 Harden Blvd
Lakeland, FL 33803-5917
Mailing address
2150 Harden Blvd
Lakeland, FL 33803-5917
Phone (863) 665-8878
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 SW Gatlin Blvd
Port St Lucie, FL 34953-4109
Phone (772) 785-7327
1801 SE Hillmoor Dr
Suite A106
Port St Lucie, FL 34952-7545
Phone (772) 335-5090
821 E Ocean Blvd
Suite a
Stuart, FL 34994-2456
Phone (772) 283-6757
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131781 | FL | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strauss & Strauss D.M.D.S, PA | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Dental Implant Specialists of Florida, PA | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Musser & Richards L L C | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2150 Harden Blvd
Lakeland, FL 33803
Phone (863) 665-8878
1801 SE Hillmoor Dr
Ste A-106
Port St Lucie, FL 34952
Phone (772) 335-5090
1601 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 785-7327
821 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (407) 283-6757
Organizations & group practices 4
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.
-
dba Oral Facial Surgical Associates
- Oral and Maxillofacial Surgery (Dentist)
- Stuart, FL
- NPI 1083721955
-
- Oral and Maxillofacial Surgery (Dentist)
- Lakeland, FL
- NPI 1376238469
-
- Oral and Maxillofacial Pathology Dentistry
- Lakeland, FL
- NPI 1255366894
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1689961385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 HARDEN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338035917",
"telephone_number": "863-665-8878",
"fax_number": "863-665-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 HARDEN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338035917",
"telephone_number": "863-665-8878",
"fax_number": "863-665-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORWALD",
"first_name": "KATHRYN",
"credential": "MD, DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "FL",
"license": "ME131781",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN27498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.