CHARLES J KOLLER MD PA (NPI# 1558915868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558915868 |
| Entity Type | Organization |
| Organization Name | CHARLES J KOLLER MD PA |
| Practice Address |
2055 Glenwood Dr Winter Park FL 32792-3307 |
| Practice Telephone | 4076453555 |
| Practice Fax Number | 4076452555 |
| Mailing Telephone | 4076453555 |
| Mailing Fax Number | 4076452555 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | HILDA RODRIGUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 4076453555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHARLES J KOLLER MD PA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689982183 | Charles J Koller Md Pa | Surgery | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2010-09-17 |
| Street Address |
2055 GLENWOOD DR |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32792-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571295 | Charles Jay Koller | Specialist | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2006-08-05 |
| 1942783642 | Courtney Thompson | Physician Assistant | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2018-09-10 |
| 1689982183 | Charles J Koller Md Pa | Surgery | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2010-09-17 |
| 1841508348 | Norma Kusnetz Mdpa | Family Medicine | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2010-09-17 |
| 1013926740 | Norma Jane Kusnetz | Specialist | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417026303 | International Non Selective Business Systems Inc | Surgery | 4270 Aloma Ave Ste 124, Winter Park, FL 32792-9388 | 2006-11-07 |
| 1750497095 | Malcolm Mcdonald | Surgery | 3009 Aloma Ave, Winter Park, FL 32792-3701 | 2006-08-21 |
| 1437194545 | Shenin Madatali Sachedina | Surgery | 2200 Glenwood Dr, Suite 201, Winter Park, FL 32792-3315 | 2006-06-20 |
| 1841230414 | Kamy Rae Kemp | Surgery | 1925 Mizell Ave Ste 105, Winter Park, FL 32792-4155 | 2006-06-08 |
| 1356389738 | Andrew Dobradin | Surgery | 320 Edinburgh Dr, Suite B, Winter Park, FL 32792-4157 | 2006-06-04 |
| 1467444877 | Christopher Olukoga | Surgery | 242 Loch Lomond Dr, Winter Park, FL 32792-3316 | 2005-08-22 |
| 1841583572 | Daniel Joseph Galante | Surgery | 242 Loch Lomond Dr, Winter Park, FL 32792-3316 | 2011-05-27 |
| 1285931303 | Frank Geoffrey Toonder | Surgery | 1890 State Road 436, Suite 319, Winter Park, FL 32792-2228 | 2011-02-25 |
| 1689982183 | Charles J Koller Md Pa | Surgery | 2055 Glenwood Dr, Winter Park, FL 32792-3307 | 2010-09-17 |
| 1730360413 | Daniel Gideon Vanuno | Surgery | 1181 Orange Ave, Winter Park, FL 32789-4907 | 2007-11-21 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32792 |
Please comment or provide details below to improve the information on CHARLES J KOLLER MD PA.
| 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.