Active NPI
Orlando Health Network Inc
- Surgery Physician
- Longwood, FL
National Provider Identifier
1942483805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ORLANDO HEALTH NETWORK INC
- Practice address
- 521 W. State Rd. 434
Suite 100
Longwood, FL 32750 - Phone
- (407) 767-5808
- Fax
- (407) 767-5892
- NPI assigned
- Dec 13, 2007
- Last updated
- Feb 12, 2009
- 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
- Keith Eggert
- Title
- Vice President
- Phone
- (321) 841-5111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
521 W. State Rd. 434
Suite 100
Longwood, FL 32750
Mailing address
521 W. State Rd. 434
Suite 100
Longwood, FL 32750
Phone (407) 767-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000044 | FL | Part B Supplier - Clinic/Group Practice | 9537059084 |
Receives reassigned benefits from 3,498 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
O20040318000044
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234396800000",
"number": "1942483805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 W. STATE RD. 434",
"address_2": "SUITE 100",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-767-5808",
"fax_number": "407-767-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 W. STATE RD. 434",
"address_2": "SUITE 100",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32750",
"telephone_number": "407-767-5808",
"fax_number": "407-767-5892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLANDO HEALTH NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-13",
"last_updated": "2009-02-12",
"status": "A",
"authorized_official_last_name": "EGGERT",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "321-841-5111"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
- Orlando Health Medical Group Inc
- Orlando Health Medical Group Inc
- Orlando Health Medical Group Inc
- Orlando Health Medical Group Inc
- Orlando Health Network Inc
- Orlando Health, Inc. (Orlando Health South Seminole Hospital)
- Orlando Merguez LLC
- Orlando Pain Centers of Excellence LLC
- Orlando Physicians Network Inc
- Misty A Orr, REGISTERED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.