Organization Active NPI

Philip Reid Oranburg MD PA

  • Cardiovascular Disease Physician
  • Boca Raton, FL
National Provider Identifier
1912949546
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 41520 Issued in FL
Legal business name
PHILIP REID ORANBURG MD PA
Practice address
1590 NW 10TH Ave
Suite 404
Boca Raton, FL 33486-1313
Phone
(561) 391-5800
Fax
(561) 338-9251
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Philip R Oranburg, M.D.NPI 1770534471
Title
Owner
Phone
(561) 391-5800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME 41520 FL Primary

Addresses

Primary practice location

1590 NW 10TH Ave
Suite 404
Boca Raton, FL 33486-1313

Mailing address

1590 NW 10TH Ave
Suite 404
Boca Raton, FL 33486-1313
Phone (561) 391-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100120000775 FL Part B Supplier - Clinic/Group Practice 0446392070 Receives reassigned benefits from 3 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1590 NW 10th Ave
Boca Raton, FL 33486

1590 NW 10th Ave
Ste 404
Boca Raton, FL 33486
Phone (407) 391-5800

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1912949546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-391-5800",
            "fax_number": "561-338-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 NW 10TH AVE",
            "address_2": "SUITE 404",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861313",
            "telephone_number": "561-391-5800",
            "fax_number": "561-338-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP REID ORANBURG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "ORANBURG",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-5800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 41520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.