Active NPI
Osceola Surgical Associates LLC
- Gynecologic Oncology Physician
- Orlando, FL
National Provider Identifier
1801565890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- Legal business name
- OSCEOLA SURGICAL ASSOCIATES LLC
- Practice address
- 3438 Lawton Rd Ste 2D
Orlando, FL 32803-2948 - Phone
- (407) 751-2868
- NPI assigned
- Sep 13, 2021
- Organization subpart
- Yes
- Parent organization
- OSCEOLA SURGICAL ASSOCIATES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Tedrick Johnson
- Title
- Vice President
- Phone
- (615) 372-3375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | Primary |
Addresses
Primary practice location
3438 Lawton Rd Ste 2D
Orlando, FL 32803-2948
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 372-5426
National Provider Directory
National Provider Directory- Tax ID family
- Osceola Surgical Associates LLC
- Part of
- Osceola Surgical Associates LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Sanford, FL
- NPI 1497425714
-
- Surgery Physician
- Kissimmee, FL
- NPI 1700043585
-
- Plastic Surgery Physician
- Kissimmee, FL
- NPI 1801558622
Locations
3438 Lawton Rd
Ste 2D
Orlando, FL 32803
Phone (407) 751-2868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631491200000",
"number": "1801565890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-372-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3438 LAWTON RD STE 2D",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328032948",
"telephone_number": "407-751-2868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSCEOLA SURGICAL ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OSCEOLA SURGICAL ASSOCIATES LLC",
"enumeration_date": "2021-09-13",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "TEDRICK",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "615-372-3375"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"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 Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.