DR. MAX B MEDARY (NPI# 1184605370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184605370 |
| Entity Type | Individual |
| Full Name | DR. MAX B MEDARY |
| Credential | M.D. |
| Practice Address |
7340 Stonerock Cir Orlando FL 32819-8000 |
| Mailing Address |
Po Box 692409 Orlando FL 32869-2409 |
| Practice Telephone | 4073550575 |
| Practice Fax Number | 4073550576 |
| Mailing Telephone | 4073550575 |
| Mailing Fax Number | 4073550576 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2010-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | ME75973 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 2189945 | 01 |
| FL | WELLCARE | 23036 | 01 |
| Street Address |
7340 STONEROCK CIR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32819-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992990170 | Greater Orlando Neursurgery and Spine | Surgery | 7340 Stonerock Cir, Orlando, FL 32819-8000 | 2007-09-11 |
| 1356322572 | Irene B Medary | Surgery | 7340 Stonerock Cir, Orlando, FL 32819 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1437704756 | Byron Martin Randolph | Physical Therapist | 7932 Sand Lake Rd Ste 203, Orlando, FL 32819 | 2019-08-04 |
| 1225536303 | Alliance Dme LLC | Durable Medical Equipment & Medical Supplies | 7031 Grand National Dr Ste 106b, Orlando, FL 32819 | 2018-01-24 |
| 1417465584 | Marckenson Gerson Janvier | Nurse Practitioner | 9401 Turkey Lake Rd, Orlando, FL 32819 | 2018-01-11 |
| 1871003442 | Sabeen Hasni | Pharmacist | 2354 Commerce Park Drive Ste 100, Orlando, FL 32819 | 2017-10-09 |
| 1902343775 | Darleen Walker | Occupational Therapist | 7243 Della Dr., Orlando, FL 32819 | 2017-01-31 |
| 1215483565 | Krista Richardson | Physical Therapist | 9102 Universal Blvd., Orlando, FL 32819 | 2016-08-28 |
| 1841646536 | Kiara Serrano | Social Worker | 7509 Pinemount Dr, Orlando, FL 32819 | 2016-05-11 |
| 1659749752 | Angels for Kids On-call | Case Management | 7550 Future Drive Suite 105, Orlando, FL 32819 | 2015-09-04 |
| 1932589462 | Krista Jean Cain | Counselor | 7758 Wallace Rd Ste Vi, Orlando, FL 32819 | 2015-05-29 |
| Find all providers in zip 32819 | ||||
| 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 |
|---|---|---|---|---|
| 1053577015 | Keyne K Johnson | Neurological Surgery | 25 W Kaley St, Ste 200, Orlando, FL 32806-2947 | 2008-07-30 |
| 1598707101 | Jogi V. Pattisapu | Neurological Surgery | 80 Bonnie Loch Ct, Orlando, FL 32806-2908 | 2006-06-11 |
| 1245217744 | Spine & Brain Neurosurgery Center | Neurological Surgery | 7460 Docs Grove Cir, Orlando, FL 32819-8010 | 2005-12-27 |
| 1457338949 | Hunaldo Jose Villalobos | Neurological Surgery | 801 N. Orange Avenue, Suite 720, Orlando, FL 32801-5202 | 2005-12-27 |
| 1811384795 | Neurosurgical Associates, Pllc | Neurological Surgery | 22 Lake Beauty Dr, Suite 301, Orlando, FL 32806-2037 | 2015-04-18 |
| 1093154528 | Healthcare Associates of Central Florida, LLC | Neurological Surgery | 1118 S Orange Ave, Suite 103, Orlando, FL 32806-1200 | 2013-06-18 |
| 1376882449 | Wehman Neurosurgery, LLC | Neurological Surgery | 80 W Gore St, Orlando, FL 32806-1114 | 2013-02-08 |
| 1437400470 | Perry P.s Dhaliwal | Neurological Surgery | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2012-10-01 |
| 1649527573 | Sean Thomas Meiner | Neurological Surgery | 89 W Copeland Dr, Orlando, FL 32806-2002 | 2012-08-09 |
| 1073880431 | Jogi Pattisapu, Md, Pa | Neurological Surgery | 80 Bonnie Loch Ct, Orlando, FL 32806-2908 | 2011-11-29 |
| 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.