UNIVERSITY WALK-IN MEDICAL CENTER, INC (NPI# 1629189410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629189410 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY WALK-IN MEDICAL CENTER, INC |
| Practice Address |
11550 University Blvd Orlando FL 32817-2100 |
| Practice Telephone | 4072822044 |
| Practice Fax Number | 4076581596 |
| Mailing Telephone | 4072822044 |
| Mailing Fax Number | 4076581596 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-12-10 |
| Authorized Official Name | VICTOR YOUNG (VICE PRESIDENT) |
| Authorized Official Telephone | 4072822044 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207P00000X | Emergency Medicine | OS8339 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001208900 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | B901V | 01 |
| Street Address |
11550 UNIVERSITY BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32817-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822087 | Victor C. Young | Emergency Medicine | 11550 University Blvd, Orlando, FL 32817-2100 | 2005-09-27 |
| 1407137649 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 11550 University Blvd, Orlando, FL 32817 | 2011-09-01 |
| 1245511500 | Oyinkansola Mary Adeogun | Family Medicine | 11550 University Blvd, Orlando, FL 32817-2100 | 2011-08-31 |
| 1548474273 | Olivia Nicole Dennis | Family Medicine | 11550 University Blvd, Orlando, FL 32817-2100 | 2007-05-10 |
| 1215045984 | Mark L Trach | Emergency Medicine | 11550 University Blvd, Orlando, FL 32817-1805 | 2006-08-25 |
| 1841268778 | Mitchell K Garber | Family Medicine | 11550 University Blvd, Orlando, FL 32817-2100 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1598373573 | Lifespan Therapy Services Inc | Clinic/Center | 9472 East Colonial Drive, Orlando, FL 32817 | 2020-07-16 |
| 1750937157 | Jacqueline Mary Mullay | Speech-Language Pathologist | 4780 Data Court, Orlando, FL 32817 | 2019-08-13 |
| 1457907784 | Austin Bermudez | Physical Therapist | 4780 Data Court, Orlando, Orlando, FL 32817 | 2019-08-13 |
| 1902306244 | Cinthia Paola Gascon Sierra | Behavioral Analyst | 3101 Lake Eastern Blvd Apt 202, Orlando, FL 32817 | 2018-02-13 |
| 1740703032 | Maeleen Chua | Physical Therapist | 3452 Lake Lynda Drive, Suite 200, Orlando, FL 32817 | 2017-07-19 |
| 1669829693 | Katherine Schwab | Counselor | 2562 Rouse Road, Orlando, FL 32817 | 2016-05-19 |
| 1487009569 | Parth Shah | Specialist | 3452 Lake Lynda Dr Ste 151, Orlando, FL 32817 | 2016-04-26 |
| 1801258223 | Jessica Ruch | Occupational Therapy Assistant | 3452 Lake Lynda Dr. Suite 200, Jackson Therapy Partners, Orlando, FL 32817 | 2016-03-24 |
| 1679938823 | Aventus Health LLC | Clinical Medical Laboratory | 11301 Corporate Blvd Ste 315, Orlando, FL 32817 | 2015-12-15 |
| Find all providers in zip 32817 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297028 | Ian Little | Emergency Medicine | 1414 Kuhl Ave # Mp156, Orlando, FL 32806-2008 | 2017-07-07 |
| 1609398049 | Johnathan Kennedy | Emergency Medicine | 3090 Caruso Ct Ste 20, Orlando, FL 32806-8510 | 2017-07-07 |
| 1639613565 | West Colonial Urgent Care | Emergency Medicine | 4220 W Colonial Dr, Suite 3, Orlando, FL 32808-8174 | 2016-12-12 |
| 1912325721 | Kevin Goldman | Emergency Medicine | 335 N Magnolia Ave, Orlando, FL 32801-1667 | 2014-03-31 |
| 1871925776 | Steven Swearingen | Emergency Medicine | 7727 Lake Underhill Road, Florida Hospital East, Orlando, FL 32822 | 2013-08-01 |
| 1245572700 | Carlos Velasco | Emergency Medicine | 601 E Rollins St., Orlando, FL 32803 | 2013-03-22 |
| 1366731846 | Stephanie Elizabeth Burgos | Emergency Medicine | 4409 Hoffner Ave # 405, Orlando, FL 32812-2331 | 2011-04-05 |
| 1518123512 | Ja-lynn Kuo | Emergency Medicine | 2014 W Colonial Dr, Orlando, FL 32804-6908 | 2008-07-30 |
| 1205032760 | Turi K Maki | Emergency Medicine | 10208 Kensington Shore Dr, Orlando, FL 32827-7306 | 2007-06-22 |
| 1639203151 | Usha Jain | Emergency Medicine | 4800 S Apopka Vineland Rd, Orlando, FL 32819-3127 | 2007-03-15 |
| 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.