Organization Active NPI

Orlando Pediatrics

  • Pediatrics Physician
  • Kissimmee, FL
National Provider Identifier
1740527142
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ORLANDO PEDIATRICS
Practice address
800 N Rose Ave
Suite 800
Kissimmee, FL 34741-4944
Phone
(407) 483-7925
Fax
(407) 483-7924
NPI assigned
Jan 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Samier Khaznadar, MD
Title
Physican
Phone
(407) 483-7925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X FL Primary

Addresses

Primary practice location

800 N Rose Ave
Suite 800
Kissimmee, FL 34741-4944

Mailing address

PO Box 770458
Orlando, FL 32877-0458
Phone (407) 361-5123

Other identifiers 1

IdentifierTypeStateIssuer
263337000MedicaidFL

National Provider Directory

National Provider Directory

Locations

22 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 847-6788

800 N Rose Ave
Ste 800
Kissimmee, FL 34741
Phone (407) 483-7925

Practitioners & affiliated clinicians

Practitioners 1

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1740527142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770458",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328770458",
            "telephone_number": "407-361-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N ROSE AVE",
            "address_2": "SUITE 800",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414944",
            "telephone_number": "407-483-7925",
            "fax_number": "407-483-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "KHAZNADAR",
        "authorized_official_first_name": "SAMIER",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "407-483-7925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263337000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.