NPIMap

Organization Active NPI

Adventist Health System Sunbelt Inc

Doing business as Florida Hospital

  • Surgical Oncology Physician
  • Orlando, FL
National Provider Identifier
1972860823
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
ADVENTIST HEALTH SYSTEM SUNBELT INC
Doing business as
Florida Hospital
Practice address
2501 N Orange Ave
Suite 249a
Orlando, FL 32804-4603
Phone
(407) 303-2006
Fax
(407) 200-4948
NPI assigned
Apr 17, 2012
Last updated
Mar 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA HOSPITAL CANCER INSTITUTE BREAST HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Mr. Henderson Peter
Title
Director
Phone
(407) 200-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X NU Primary

Addresses

Primary practice location

2501 N Orange Ave
Suite 249a
Orlando, FL 32804-4603

Mailing address

PO Box 538700
Orlando, FL 32853-8700
Phone (407) 200-2924

Other identifiers 1

IdentifierTypeStateIssuer
0007OtherFLHOSPITAL MEDICARE NUMBER

Other names 1

  • Florida Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000557 FL Part B Supplier - Clinic/Group Practice 4082602214 Receives reassigned benefits from 84 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winter Garden, FL; Winter Park, FL; Orlando, FL

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Loch Haven OB GYN Group61 organizations share this tax ID, including this one
Part of
Loch Haven OB GYN Group

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

2501 N Orange Ave
Ste 249A
Orlando, FL 32804
Phone (407) 303-2006

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1972860823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328538700",
            "telephone_number": "407-200-2924",
            "fax_number": "407-200-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "address_2": "SUITE 249A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044603",
            "telephone_number": "407-303-2006",
            "fax_number": "407-200-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH SYSTEM SUNBELT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA HOSPITAL CANCER INSTITUTE BREAST HEALTH CENTER",
        "enumeration_date": "2012-04-17",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "PETER",
        "authorized_official_first_name": "HENDERSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "407-200-2227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL MEDICARE NUMBER",
            "identifier": "0007",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 3, 2016; 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.