The Surgical Group of Orlando

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THE SURGICAL GROUP OF ORLANDO

Practice address

1814 Lucerne Ter
Orlando, FL 32806-2949

Phone

(407) 730-3627

Fax

(407) 423-3817

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Danelle K Chambers, MDNPI 1730281122

Title

Partner

Phone

(407) 730-3627

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: clinical@sgo.directbygreenway.com

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danelle Kay Chambers, MD

  • Surgery Physician
  • Orlando, FL
  • NPI 1730281122
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Bain Freeland, MD

  • Surgery Physician
  • Orlando, FL
  • NPI 1427207067
  Medicare reassignment Care Compare group NPD
• Tina Bruefach, PA

  • Medical Physician Assistant
  • Ocoee, FL
  • NPI 1033221411
  Medicare reassignment
• Daniel Louis Arnold, M.D.

  • Vascular Surgery Physician
  • Orlando, FL
  • NPI 1649271446
  NPD (past)
• Laura Renee Davis, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1306283668
  NPD (past)
• Matthew W Lube, MD

  • Surgical Critical Care Physician
  • Orlando, FL
  • NPI 1104806256

  Surgery

  NPD (past)
• Evelyn Frances Ogle, PA-C

  • Medical Physician Assistant
  • Rockledge, FL
  • NPI 1508179755
  NPD (past)
• John T. Promes, MD

  • Surgical Critical Care Physician
  • Orlando, FL
  • NPI 1669452850

  Surgery

  NPD (past)
• Jeffrey Richard Smith, MD

  • Surgery Physician
  • Orlando, FL
  • NPI 1962504357
  NPD (past)
• Susan Lee Smith, DHSC, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1558570002
  NPD (past)
• Daniel Gideon Vanuno, MD

  • Surgery Physician
  • Pembroke Pines, FL
  • NPI 1730360413
  NPD (past)
• Marc Lafrance Demers, MD

  • Surgery Physician
  • Portland, ME
  • NPI 1396847794
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1861586885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062949",
            "telephone_number": "407-730-3627",
            "fax_number": "407-423-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 LUCERNE TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062949",
            "telephone_number": "407-730-3627",
            "fax_number": "407-423-3817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9430 Turkey Lake Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328198015",
            "country_code": "US",
            "telephone_number": "407-730-3627",
            "fax_number": "407-423-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE SURGICAL GROUP OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "DANELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "407-730-3627",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254871200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@sgo.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1814 Lucerne Ter",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328062949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Side Lyer Company LLC
• The Smile Mission South Orlando PLLC
• The Smile Mission West Orlando PLLC
• The Source of Americallc
• The Storybook Group LLC
• The Therapy Lab, LLC
• The Therapy Studio, LLC
• The Touch Homemaker and Homecare Services LLC
• The Track - Strengthening & Conditioning, Inc.
• The United States Fire Department Reserve Corps, Inc.

• Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.