NPIMap

Organization Active NPI

Orlando Health Inc

  • Surgical Critical Care Physician
  • Orlando, FL
National Provider Identifier
1770520405
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
Legal business name
ORLANDO HEALTH INC
Practice address
77 W Underwood St
Suite 200
Orlando, FL 32806-1122
Phone
(407) 649-6884
Fax
(407) 245-7059
NPI assigned
Jun 1, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Keith Eggert
Title
VP Revenue Management
Phone
(407) 237-6393

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Surgery Physician 208600000X NU
Surgical Critical Care Physician 2086S0102X NU Primary

Addresses

Primary practice location

77 W Underwood St
Suite 200
Orlando, FL 32806-1122

Mailing address

77 W Underwood St
Suite 200
Orlando, FL 32806-1122
Phone (407) 649-6884

Other identifiers 3

IdentifierTypeStateIssuer
010133804MedicaidFL
33748OtherFLBCBS
7629050OtherFLAETNA

National Provider Directory

National Provider Directory

Locations

77 Underwood St
Ste 200
Orlando, FL 32806
Phone (407) 649-6884

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1770520405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W UNDERWOOD ST",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061122",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W UNDERWOOD ST",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061122",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "VP REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "407-237-6393"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010133804",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33748",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7629050",
            "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 Jan 23, 2009; 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.