Mardi Jane Bishop, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME94808 Issued in FL

Practice address

1319 S International Pkwy
Suite 1151
Lake Mary, FL 32746-1408

Phone

(407) 333-1616

Fax

(407) 333-1617

NPI assigned

Sep 20, 2005

Last updated

Mar 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Orlando Health, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
  • NPI 1811604325
  NPD (past)
• Womens Health Center of Central Florida LLC

  • Obstetrics & Gynecology Physician
  • Lake Mary, FL
  • NPI 1760466510
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1740275361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 LAKEWORTH CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1151",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461408",
            "telephone_number": "407-333-1616",
            "fax_number": "407-333-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MARDI",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME94808",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IN",
            "license": "01054596A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "37022",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274559300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendal Michele Binkley
• Bionic Prosthetics and Orthotics Group LLC
• Bioplus Specialty Pharmacy, Inc. (Kroger Specialty Pharmacy FL)
• Sarah Elizabeth Birks
• Debra Bisbee
• Jason Bizjack, DPT
• Raya Blackwell
• Amie Blackwood, PTA
• Marc Blanc
• Kristin Vasser Blanco, APRN

• Obstetrics & Gynecology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.