DR. KEVIN C OLOUGHLIN (NPI# 1023017183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023017183 |
Entity Type | Individual |
Full Name | DR. KEVIN C OLOUGHLIN |
Credential | MD |
Practice Address |
13800 Veterans Way Orlando FL 32827-7401 |
Mailing Address |
13668 Chauvin Ave Orlando FL 32827-3820 |
Practice Telephone | 4076311000 |
Mailing Telephone | 7752254378 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-05-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MD41923 | IA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 11564457 | 01 | |
NV | 100509540 | 05 |
Street Address |
13800 VETERANS WAY |
City | ORLANDO |
State | FL |
Zip Code | 32827-7401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679172332 | Roger A. Tabatt | Recreation Therapist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-10-22 |
1801493846 | Jose Luis Martinez Serrano | Psychologist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-10-02 |
1548876444 | Mike Varro | Prosthetist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-17 |
1083229199 | Thomas Edward Sheahan | Physical Therapist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-15 |
1467067421 | Mary Georgi | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-15 |
1649884008 | John Matthew Allen | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-09-03 |
1639789167 | Larry Johns | Social Worker | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-08-10 |
1114535739 | Melissa L Atencio | Optometrist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-07-20 |
1811505886 | Jon Lauda | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-07-16 |
1154949501 | Nadeen Ayad | Pharmacist | 13800 Veterans Way, Orlando, FL 32827-7401 | 2020-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
Find all providers in zip 32827 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
1245748052 | Integrative Physical Medicine of Metro West LLC | Specialist | 1743 Park Center Dr Ste 200, Orlando, FL 32835-7621 | 2018-01-15 |
1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.