OCEANS MEDICAL GROUP LLC (NPI# 1033751250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033751250 |
| Entity Type | Organization |
| Organization Name | OCEANS MEDICAL GROUP LLC |
| Practice Address |
1685 Lee Rd Ste 100 Winter Park FL 32789-2214 |
| Mailing Address |
1404 N Ronald Reagan Blvd Unit 1120 Longwood FL 32750-3410 |
| Practice Telephone | 4074138883 |
| Practice Fax Number | 4074138892 |
| Mailing Telephone | 4074138883 |
| Mailing Fax Number | 4074138892 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | DR. KEYNE JOHNSON (OWNER) |
| Authorized Official Telephone | 4074138883 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1685 LEE RD STE 100 |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601021 | Daniel Piziali Burdett | Chiropractor | 1685 Lee Rd Ste 100, Winter Park, FL 32789-2214 | 2006-03-01 |
| 1669838595 | Victoria L Henry | Counselor | 1685 Lee Rd Ste 100, Winter Park, FL 32789-2214 | 2016-01-07 |
| 1154607968 | Kevin Vankorlaar | Counselor | 1685 Lee Rd Ste 100, Winter Park, FL 32789-2214 | 2011-10-25 |
| 1972702058 | Murtaza Hamid Syed | Psychiatry & Neurology | 1685 Lee Rd Ste 100, Winter Park, FL 32789-2214 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609983113 | Orlando Neurosurgery, P.a. | Neurological Surgery | 1605 W. Fairbanks Ave, Winter Park, FL 32789 | 2006-08-23 |
| 1255308151 | Mark Cuffe | Neurological Surgery | 1245 W Fairbanks Ave, Suite 350, Winter Park, FL 32789-7111 | 2006-03-01 |
| 1629060033 | Florida Hospital Medical Group Inc | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2005-08-22 |
| 1457735326 | Fairbanks Partners LLC | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2015-07-10 |
| 1447543954 | Cory James Hartman | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789 | 2011-05-17 |
| 1265684518 | David S Rosen | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2008-10-17 |
| 1174787337 | Ravi Hemant Gandhi | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2008-07-16 |
| 1306856828 | Michael Philip Bellew | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2006-08-08 |
| 1932143435 | John Jenkins | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2006-06-15 |
| 1760432090 | Christopher J Baker | Neurological Surgery | 1605 W Fairbanks Ave, Winter Park, FL 32789-4603 | 2006-05-10 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
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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.