PREMIER OBSTETRICS AND GYNECOLOGY OF ORLANDO, PA (NPI# 1306821194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306821194 |
| Entity Type | Organization |
| Organization Name | PREMIER OBSTETRICS AND GYNECOLOGY OF ORLANDO, PA |
| Practice Address |
531 N Maitland Ave Maitland FL 32751-4421 |
| Practice Telephone | 3213971212 |
| Practice Fax Number | 3213971213 |
| Mailing Telephone | 3213971212 |
| Mailing Fax Number | 3213971213 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN WEST VAN WERT (PRESIDENT) |
| Authorized Official Telephone | 3213971212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
531 N MAITLAND AVE |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151313 | John West Van Wert | Obstetrics & Gynecology | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2005-08-11 |
| 1710337324 | Matthew David Wollenschlaeger | Obstetrics & Gynecology | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2016-06-14 |
| 1790157071 | Amanda Marie Murphy | Physician Assistant | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2015-10-26 |
| 1245650191 | Allison Amore | Obstetrics & Gynecology | 531 N Maitland Ave, Maitland, FL 32751 | 2014-04-18 |
| 1922305135 | Florida Woman Care, LLC | Obstetrics & Gynecology | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2011-02-24 |
| 1437370681 | Rita Ellen Eye | Obstetrics & Gynecology | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2007-05-02 |
| 1053303941 | Teresa Nesbit | Nurse Practitioner | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2005-08-17 |
| 1962494088 | Jean Betty Christensen | Nurse Practitioner | 531 N Maitland Ave, Maitland, FL 32751-4421 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689095044 | Ladwyana Jordan | Specialist | 330 Lake Ave Apt 206a, Maitland, FL 32751-6391 | 2014-01-02 |
| 1205859626 | Fredrika Marie Strasser | Specialist | 1007 Grove St, Maitland, FL 32751-6315 | 2006-07-26 |
| 1184643199 | Neurology Associates, Pa | Specialist | 301 N. Maitland Ave., Maitland, FL 32751 | 2006-07-19 |
| 1285687632 | Boris E Coronado | Specialist | 800 N Maitland Ave Ste 101, Maitland, FL 32751-4499 | 2006-05-18 |
| 1194714634 | Daniel A Nieves-quinones | Specialist | 301 N Maitland Ave, Maitland, FL 32751-4723 | 2005-10-18 |
| 1790787901 | David Rw Simmons | Specialist | 850 Trafalgar Ct, Ste 420, Maitland, FL 32751-4141 | 2005-06-01 |
| 1942202148 | Kelly Dawn Verbal | Specialist | 851 Trafalgar Court, Suite 200 E, Maitland, FL 32751 | 2005-06-01 |
| 1518314137 | Monica Oganes & Associates | Specialist | 555 Winderley Pl, Suite 300, Maitland, FL 32751-7225 | 2016-05-24 |
| 1154633014 | Svetlana A Cascio Md Pa | Specialist | 301 S Maitland Ave, Suite A, Maitland, FL 32751-5631 | 2010-07-08 |
| 1922322668 | Deborah R Goodwin | Specialist | 1061 Maitland Center Commons Blvd, Suite 205, Maitland, FL 32751-7435 | 2010-03-24 |
| Find all providers in MAITLAND | ||||
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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.