Active NPI
Alliance Obstetrics and Gynecology Group, LLC
- Obstetrics & Gynecology Physician
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ALLIANCE OBSTETRICS AND GYNECOLOGY GROUP, LLC
- Practice address
- 2035 Glenwood Dr
Winter Park, FL 32792-3307 - Phone
- (407) 960-2112
- Fax
- (407) 960-7024
- NPI assigned
- Sep 23, 2019
- Last updated
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ameigh Verderosa Worley
- Title
- Owner/Physician
- Phone
- (321) 794-1864
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Pediatric Adolescent Medicine Physician | 2080A0000X |
Addresses
Primary practice location
2035 Glenwood Dr
Winter Park, FL 32792-3307
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 960-2112
Other practice location 1
2035 Glenwood Dr
Winter Park, FL 32792-3307
Phone (407) 960-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP414 | Other | FL | FL MEDICARE |
| PENDING | Medicaid | FL |
Other names 1
- Alliance Obstetrics and Gynecology Group, LLC
National Provider Directory
National Provider DirectoryLocations
2035 Glenwood Dr
Winter Park, FL 32792
Phone (407) 774-4440
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Orlando, FL
- NPI 1336466911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1841841830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "407-960-2112",
"fax_number": "407-960-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 GLENWOOD DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923307",
"telephone_number": "407-960-2112",
"fax_number": "407-960-7024"
}
],
"practiceLocations": [
{
"address_1": "2035 Glenwood Dr",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327923307",
"country_code": "US",
"telephone_number": "407-960-2112",
"fax_number": "407-960-7024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALLIANCE OBSTETRICS AND GYNECOLOGY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-23",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "WORLEY",
"authorized_official_first_name": "AMEIGH",
"authorized_official_middle_name": "VERDEROSA",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "321-794-1864"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "NP414",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alliance Obstetrics and Gynecology Group, LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Alliance Obstetrics and Gynecology Group, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.