Active NPI
Joseph Taverne, M.D.
- General Practice Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1118
- Practice address
- 5160 S John Young Pkwy
Orlando, FL 32839-5022 - Phone
- (844) 665-4827
- NPI assigned
- Sep 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 19476 | PR | |
| General Practice Physician | 208D00000X | ACN1118 | FL | Primary |
Addresses
Primary practice location
5160 S John Young Pkwy
Orlando, FL 32839-5022
Mailing address
111 Calle Dr Lassisse
Bo Paris Alto
Mayaguez, PR 00680-5434
Phone (305) 726-9772
Other practice location 1
111 Calle Dr Lassisse
Bo Paris alto
Mayaguez, PR 00680-5434
Phone (305) 726-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5190 S John Young Pkwy
Orlando, FL 32839-5022
Phone (844) 665-4827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guidewell Sanitas I, LLC | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
5190 S John Young Pkwy
Orlando, FL 32839
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
Interoperability endpoints
- joseph.taverne@wwmp.eclinicaldirectplus.com
Organizations & group practices 1
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": "1473811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1942758339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CALLE DR LASSISSE",
"address_2": "BO PARIS ALTO",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006805434",
"telephone_number": "305-726-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 S JOHN YOUNG PKWY",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328395022",
"telephone_number": "844-665-4827"
}
],
"practiceLocations": [
{
"address_1": "111 Calle Dr Lassisse",
"address_2": "Bo Paris alto",
"address_purpose": "LOCATION",
"city": "Mayaguez",
"state": "PR",
"postal_code": "006805434",
"country_code": "US",
"telephone_number": "305-726-9772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVERNE",
"first_name": "JOSEPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-14",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PR",
"license": "19476",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.