MEDICARE: JAMES W. ORR JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	ME0047629	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	980000201	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2271943	OTHER	FL	AETNA HMO PROVIDER #
2	53820	OTHER	FL	BCBS OF FL PROVIDER #
3	28200	OTHER	FL	WELLCARE
4	4312869	OTHER	FL	AETNA OTHER PROVIDER #
5	867629	OTHER	FL	FIRST HEALTH PROV. #
7	4859658	OTHER	FL	AETNA
8	1092034-002	OTHER	FL	CIGNA PROVIDER NUMBER
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	07-05465	OTHER	FL	UTD. HLTHCR. PROV. NUMBER

General Provider Information

NPI Number	:	1306843370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES W. ORR JR. MD

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR
Second Line	:	SUITE 400
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7816
Country	:	US
Telephone Number	:	239-334-6626
Fax Number	:	239-334-0404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/18/2017

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