Organization Active NPI

Orlando Women Center LLC

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1750510087
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
ORLANDO WOMEN CENTER LLC
Practice address
1103 Lucerne Ter
Orlando, FL 32806-1016
Phone
(407) 245-7999
Fax
(407) 245-7040
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Dr. James S Pendergraft IV, MDNPI 1194956318
Title
Manager
Phone
(407) 245-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1103 Lucerne Ter
Orlando, FL 32806-1016

Mailing address

1103 Lucerne Ter
Orlando, FL 32806-1016
Phone (407) 245-7999

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1066947Center of Orlando for Women LLC1103 Lucerne Terrace, Orlando, FL 32806ComplianceApr 7, 2027

National Provider Directory

National Provider Directory

Locations

1103 Lucerne Ter
Orlando, FL 32806
Phone (407) 245-7999

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": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1750510087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061016",
            "telephone_number": "407-245-7999",
            "fax_number": "407-245-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061016",
            "telephone_number": "407-245-7999",
            "fax_number": "407-245-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO WOMEN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-245-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.