Individual provider Active NPI

Owen Robert Kieran, D.O.

  • Surgery Physician
  • Clermont, FL
National Provider Identifier
1790094753
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS14242 Issued in FL
Practice address
1804 Oakley Seaver Dr Ste a
Clermont, FL 34711-1925
Phone
(407) 521-3620
Fax
(407) 521-3621
NPI assigned
Sep 24, 2010
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS14242 FL Primary

Addresses

Primary practice location

1804 Oakley Seaver Dr Ste a
Clermont, FL 34711-1925

Mailing address

1804 Oakley Seaver Dr Ste a
Clermont, FL 34711-1925
Phone (407) 521-3620

Other practice location 1

2100 Ocoee Apopka Rd Ste 240
Apopka, FL 32703-9210
Phone (407) 521-3620

Other practice location 2

2000 Fowler Grove Blvd Fl 3
Winter Garden, FL 34787-5050
Phone (407) 521-3600

Other practice location 3

7940 Via Dellagio Way Ste 142
Orlando, FL 32819-5400
Phone (407) 521-3620

Other identifiers 4

IdentifierTypeStateIssuer
PBB02OtherMEDICARE
UZ1EWOtherFLBCBS
1790094753OtherNPI
021151000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427002274 FL Practitioner - General Surgery 1759500770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jorge L Florin MD PAGroup PAC ID 0941103345, 15 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1919 E Hwy 50
Suite 201
Clermont, FL 34711-1975
Phone (407) 521-3600

2000 Fowler Grove Blvd
Winter Garden, FL 34787-5050

2100 Ocoee Apopka Rd
Apopka, FL 32703-9210

2200 Fowler Grove Blvd
Winter Garden, FL 34787-5597

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14242FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kieran Surgical, LLC Surgery Current Accepting new patients
Jorge L Florin MD PA Surgery CurrentSince May 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc Surgery CurrentSince Mar 8, 2026 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 8, 2026 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

661 E Altamonte Dr
Ste 331
Altamonte Springs, FL 32701
Phone (321) 277-6441

2100 Ocoee Apopka Rd
Ste 240
Apopka, FL 32703
Phone (407) 521-3600

1804 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (352) 243-2622

1919 E Highway 50
Ste 201
Clermont, FL 34711
Phone (352) 243-2622

1919 E State Road 50
Clermont, FL 34711
Phone (352) 717-3750

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

960 Rinehart Rd
Ste 2060
Lake Mary, FL 32746
Phone (407) 225-5557

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

10000 W Colonial Dr
Ste 288
Ocoee, FL 34761
Phone (407) 521-3600

17000 Porter Rd
Ste 209
Winter Garden, FL 34787
Phone (407) 524-3600

2000 Fowler Grove Blvd
Fl 3
Winter Garden, FL 34787
Phone (407) 521-3600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1790094753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "407-521-3620",
            "fax_number": "407-521-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OAKLEY SEAVER DR STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111925",
            "telephone_number": "407-521-3620",
            "fax_number": "407-521-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Ocoee Apopka Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327039210",
            "country_code": "US",
            "telephone_number": "407-521-3620",
            "fax_number": "407-521-3621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Fowler Grove Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875050",
            "country_code": "US",
            "telephone_number": "407-521-3600",
            "fax_number": "407-521-3603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7940 Via Dellagio Way Ste 142",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328195400",
            "country_code": "US",
            "telephone_number": "407-521-3620",
            "fax_number": "407-521-3621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERAN",
        "first_name": "OWEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS14242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PBB02",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "UZ1EW",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790094753",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021151000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.