Greater Orlando Neursurgery and Spine

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME75973 Issued in FL

Legal business name

GREATER ORLANDO NEURSURGERY AND SPINE

Practice address

7340 Stonerock Cir
Orlando, FL 32819-8000

Phone

(407) 355-0575

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Max Branden Medary, MDNPI 1184605370

Title

Neurosurgeon

Phone

(407) 355-0575

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 12

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

• Max B Medary, M.D.

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1184605370
  Medicare reassignment NPD Authorized official
• Irene B Medary, MD

  • Surgical Critical Care Physician
  • Orlando, FL
  • NPI 1356322572
  Medicare reassignment NPD
• Kevin M Boerner, PAC

  • Surgical Physician Assistant
  • Celebration, FL
  • NPI 1457346959
  NPD (past)
• John F Byrnes Jr., PA C

  • Physician Assistant
  • Apopka, FL
  • NPI 1639163629
  NPD (past)
• Richard Kent Chapman, PA C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1437144953
  NPD (past)
• Christopher J Kondor, PA C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1457345449
  NPD (past)
• Nizam Razack, M.D.

  • Neurological Surgery Physician
  • Orlando, FL
  • NPI 1447237045
  NPD (past)
• John Leslie Steele, PA C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1225022239
  NPD (past)
• Demetrius S Stelmashenko, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1891789889
  NPD (past)
• Kurt T. Wood, PA-C

  • Physician Assistant
  • Deland, FL
  • NPI 1780683359
  NPD (past)
• Julian E Bailes Jr., MD

  • Neurological Surgery Physician
  • Evanston, IL
  • NPI 1225138001
  NPD (past)
• Richard Allen Douglas, M.D.,F.A.C.S.

  • Neurological Surgery Physician
  • Bridgeport, WV
  • NPI 1710961669
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1992990170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-355-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7340 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-355-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ORLANDO NEURSURGERY AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MEDARY",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "BRANDEN",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "407-355-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME75973",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME58900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Graziano, MD
• John T Grbac, PSY D
• Vanja Grbic, MEDICAL TATTOO ARTIS
• Great Direct Care Inc
• Greater Orlando Health and Wellness Centers, LLC
• Greater Orlando Outpatient Center
• Greater Orlando Psychiatric Associates, P.a.
• Greater Orlando Surgical Group, LLC
• Greater Tomorrow Counseling and Consulting Services/Cleane St Eloi
• Nicole Susan Greathouse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.