Provider Demographics
NPI:1306843370
Name:ORR, JAMES W JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:ORR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:8931 COLONIAL CENTER DR
Practice Address - Street 2:SUITE 400
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7816
Practice Address - Country:US
Practice Address - Phone:239-334-6626
Practice Address - Fax:239-334-0404
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0047629207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2271943OtherAETNA HMO PROVIDER #
FL53820OtherBCBS OF FL PROVIDER #
FL28200OtherWELLCARE
FL4312869OtherAETNA OTHER PROVIDER #
FL867629OtherFIRST HEALTH PROV. #
FL980000201OtherRAILROAD MEDICARE
FL4859658OtherAETNA
FL1092034-002OtherCIGNA PROVIDER NUMBER
FL042023900Medicaid
FL07-05465OtherUTD. HLTHCR. PROV. NUMBER
FL867629OtherFIRST HEALTH PROV. #
D65105Medicare UPIN