Individual provider Active NPI

Tabitha Lee Schrufer-Poland, M.D., PH.D.

  • Maternal & Fetal Medicine Physician
  • Orlando, FL
National Provider Identifier
1841633484
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME163120 Issued in FL
Practice address
2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Phone
(407) 622-0560
NPI assigned
Apr 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0064785 CO
Obstetrics & Gynecology Physician 207V00000X 2016014747 MO
Maternal & Fetal Medicine Physician 207VM0101X ME163120 FL Primary

Addresses

Primary practice location

2415 N Orange Ave Ste 402
Orlando, FL 32804-5505

Mailing address

2415 N Orange Ave Ste 402
Orlando, FL 32804-5505
Phone (407) 622-0560

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0886

Other practice location 2

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5960

Other practice location 3

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885
Phone (407) 897-3737

Other practice location 4

307 SW 14th St Ste A
Ocala, FL 34471-6523
Phone (352) 877-2658

Other practice location 5

6609 N Wickham Rd Ste 104
Melbourne, FL 32940-2043
Phone (407) 622-0560

Other practice location 6

301 Memorial Medical Pkwy Ste 300
Daytona Beach, FL 32117-5167
Phone (407) 622-0560

Other practice location 7

380 Celebration Pl Fl 2
Celebration, FL 34747-4606
Phone (407) 622-0560

Other practice location 8

661 E Altamonte Dr Ste 318
Altamonte Springs, FL 32701-5103
Phone (407) 622-0560

Other names 1

  • Dr. Tabitha Lee Schrufer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200812002116 CO Practitioner - Obstetrics/Gynecology 9234432774 Reassigns benefits to 1 organization
I20230830004463 FL Practitioner - Obstetrics/Gynecology 9234432774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2415 N Orange Ave
Orlando, FL 32804-5505

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

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DR.0064785COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 9, 2023 Accepting new patients
Poudre Valley Medical Group, LLC Maternal & Fetal Medicine Current Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 8, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 9, 2023 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600

301 Memorial Medical Pkwy
Ste 300
Daytona Beach, FL 32117
Phone (407) 622-0560

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

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

6609 N Wickham Rd
Ste 104
Melbourne, FL 32940
Phone (407) 303-7280

307 SW 14th St
Ste A
Ocala, FL 34471
Phone (352) 877-2658

2415 N Orange Ave
Ste 402
Orlando, FL 32804
Phone (407) 303-5815

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tschruferpoland1726071@adventhealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1841633484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-622-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N ORANGE AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045505",
            "telephone_number": "407-622-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5960",
            "fax_number": "719-365-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Rinehart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464885",
            "country_code": "US",
            "telephone_number": "407-897-3737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 SW 14th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716523",
            "country_code": "US",
            "telephone_number": "352-877-2658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6609 N Wickham Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402043",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Memorial Medical Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175167",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Celebration Pl Fl 2",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474606",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "661 E Altamonte Dr Ste 318",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327015103",
            "country_code": "US",
            "telephone_number": "407-622-0560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRUFER-POLAND",
        "first_name": "TABITHA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0064785",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2016014747",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME163120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "SCHRUFER",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.