Active NPI
Michael S Mokris, MD
- Otolaryngology Physician
- Orlando, FL
National Provider Identifier
1700854981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME39061
- Practice address
- 1781 Park Center Drive
Suite 210
Orlando, FL 32835 - Phone
- (407) 351-0675
- Fax
- (407) 352-1867
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME39061 | FL | Primary |
Addresses
Primary practice location
1781 Park Center Drive
Suite 210
Orlando, FL 32835
Mailing address
7251 University Blvd
Suite 300
Winter Park, FL 32792
Phone (407) 677-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040303200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700854981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 UNIVERSITY BLVD",
"address_2": "SUITE 300",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32792",
"telephone_number": "407-677-0099",
"fax_number": "407-677-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 PARK CENTER DRIVE",
"address_2": "SUITE 210",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32835",
"telephone_number": "407-351-0675",
"fax_number": "407-352-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKRIS",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME39061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040303200",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.