MARK A BIRNBAUM (NPI# 1699745737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699745737 |
| Entity Type | Individual |
| Full Name | MARK A BIRNBAUM |
| Credential | MD |
| Practice Address |
1222 S Orange Ave Orlando FL 32806-1215 |
| Practice Telephone | 3218413040 |
| Practice Fax Number | 3218413049 |
| Mailing Telephone | 3218413040 |
| Mailing Fax Number | 3218413049 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2016-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME54835 | FL | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
ME54835 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 063360700 | 05 | |
| FL | MEDICAL LICENSE | ME54835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962512749 | Mark I Birnbaum | Dentist | 3 Third Street, Suite 101, Bordertown, NJ 08505-1321 | 2006-08-30 |
| 1043202179 | Mark B Birnbaum | Dentist | 1777 Ocean Pkwy, Brooklyn, NY 11223-2060 | 2005-08-16 |
| Street Address |
1222 S ORANGE AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546986 | Steven J Hoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2005-05-27 |
| 1639793623 | Mikayla Alexis Ruane | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-06-04 |
| 1699308536 | Bethany Kelley | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-02-19 |
| 1194364620 | Cody Albert Pigon | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-01-01 |
| 1528600442 | Jennie K Ayers | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-10-11 |
| 1376193458 | David Estalilla | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-19 |
| 1437709664 | Brannen Allen Davis | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-19 |
| 1386294098 | Heidi Lyn Seymour | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-14 |
| 1437703592 | Paige Salerno | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-07-27 |
| 1174175285 | Amanda Kay Graham | Registered Nurse | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205862745 | Raymund Woo | Orthopaedic Surgery | 2501 N Orange Ave Ste 514, Orlando, FL 32804-4674 | 2006-06-25 |
| 1992215420 | Cassandra Leigh Klebous | Orthopaedic Surgery | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2017-10-11 |
| 1093923450 | Ryan M Ilgenfritz | Orthopaedic Surgery | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2007-05-18 |
| 1740324292 | Alec C. Stall | Orthopaedic Surgery | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2007-02-17 |
| 1982674024 | Dennis Raymond Knapp Jr. | Orthopaedic Surgery | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898580 | North Broward Hospital District | Orthopaedic Surgery | 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 | 2019-12-19 |
| 1952662355 | Scoliosis & Pediatric Ortho Pa | Orthopaedic Surgery | 6370 N State Road 7, Suite 100, Coconut Creek, FL 33073-3606 | 2012-06-01 |
| 1144422486 | Hallandale Beach Orthopedics, Inc. | Orthopaedic Surgery | 1250 E Hallandale Beach Blvd Ste 700, Hallandale Beach, FL 33009-4641 | 2007-05-31 |
| 1427259076 | Davida Packer | Orthopaedic Surgery | 901 45th St Kimmel Bldg, West Palm Beach, FL 33407-2413 | 2007-05-30 |
| 1124249511 | Jeffrey Alan Crastnopol | Orthopaedic Surgery | 3405 Saddlebrook Ln, Weston, FL 33331-3034 | 2007-05-01 |
| 1386786838 | Pediatric Orthopedics of Southwest Florida | Orthopaedic Surgery | 15821 Hollyfern Court, Fort Myers, FL 33908 | 2007-02-13 |
| 1134290414 | Luis Edgardo Kortright | Orthopaedic Surgery | 4600 N Habana Ave Ste 6, Tampa, FL 33614-7123 | 2006-11-10 |
| 1568424075 | David Siambanes | Orthopaedic Surgery | 3003 E. Dr. Martin Luther King Jr. Blvd., Mab-3rd Floor, Tampa, FL 33607-6307 | 2006-04-03 |
| 1740282292 | Randolph Cohen | Orthopaedic Surgery | 5830 Coral Ridge Dr Ste 207, Coral Springs, FL 33076 | 2005-08-15 |
| 1851394746 | Timothy Michael Bradley | Orthopaedic Surgery | 602 Vonderburg Dr, Suite 103, Brandon, FL 33511-5900 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
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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.