CENTER FOR DIGESTIVE ENDOSCOPY (NPI# 1063479459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479459 |
| Entity Type | Organization |
| Organization Name | CENTER FOR DIGESTIVE ENDOSCOPY |
| Practice Address |
1817 N Mills Ave Orlando FL 32803 |
| Practice Telephone | 4078961726 |
| Practice Fax Number | 4078969716 |
| Mailing Telephone | 4078961726 |
| Mailing Fax Number | 4078969716 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | DR. WILLIAM BRANDON RUDERMAN (PRESIDENT) |
| Authorized Official Telephone | 4078961726 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 1139 | FL | Ambulatory Health Care Facilities |
| Street Address |
1817 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952084 | Earlyne L Rodriguez | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2005-09-12 |
| 1568829323 | Orlando Mills Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2016-01-25 |
| 1083009328 | Jacqueline Larrea | Nurse Practitioner | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2015-04-03 |
| 1922311448 | Endoscopic Anesthesia Group, P.a. | Anesthesiology | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2010-07-26 |
| 1902079775 | Orlando Mills Fl Endoscopy Asc LLC | Clinic/Center | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2008-04-11 |
| 1588716492 | Marlon Ilagan | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2007-01-18 |
| 1598795031 | Sandi C Franklin | Nurse Anesthetist, Certified Registered | 1817 N Mills Ave, Orlando, FL 32803-1853 | 2006-07-03 |
| 1750320099 | Gastroenterology Assoc of Central Fl | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1154360493 | William Mayoral | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| 1598704843 | William Brandon Ruderman | Internal Medicine | 1817 N Mills Ave, Orlando, FL 32803 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1043837834 | The Critical Care and Hospital Medicine Group, Pllc | Clinic/Center | 2600 University Acres Dr, Orlando, FL 32817-3024 | 2020-06-29 |
| 1548896822 | Aba Therapy Centers of Excellence Corp | Clinic/Center | 1800 Pembrook Dr Ste 372, Orlando, FL 32810-6928 | 2020-03-18 |
| 1033756374 | Obt Chiropractic Inc | Clinic/Center | 7130 S Orange Blossom Trl, Orlando, FL 32809-5755 | 2019-12-05 |
| 1689210858 | Promed Associates LLC | Clinic/Center | 7642 Blue Quail Ln, Orlando, FL 32835-5815 | 2019-11-22 |
| 1699316760 | Doctors United Group Inc | Clinic/Center | 3300 W Colonial Dr, Orlando, FL 32808-8011 | 2019-09-30 |
| 1649828930 | Orna Aesthetics LLC | Clinic/Center | 6735 Conroy Rd Ste 422, Orlando, FL 32835-3566 | 2019-08-29 |
| 1841842721 | Cigna Onsite Health LLC | Clinic/Center | 2500 W Colonial Dr, Orlando, FL 32804-8005 | 2019-07-11 |
| 1902468077 | Akl Active Inc | Clinic/Center | 1767 Spicebush Ct, Orlando, FL 32828-6847 | 2019-06-28 |
| Find all providers in ORLANDO | ||||
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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.