Organization Active NPI

Roberts Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1003064841
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0041010 Issued in FL
Legal business name
ROBERTS ORTHOPAEDIC CLINIC PA
Practice address
453 N Kirkman Rd Ste 201
Orlando, FL 32811-1109
Phone
(407) 292-8992
Fax
(407) 292-6114
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sonia Shaffeeullah
Title
Office Manager
Phone
(407) 292-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME0041010 FL Primary

Addresses

Primary practice location

453 N Kirkman Rd Ste 201
Orlando, FL 32811-1109

Mailing address

453 N Kirkman Rd Ste 201
Orlando, FL 32811-1109
Phone (407) 292-8992

Other identifiers 2

IdentifierTypeStateIssuer
47628OtherFLPTAN
069105400MedicaidFL

National Provider Directory

National Provider Directory

Locations

453 N Kirkman Rd
Ste 201
Orlando, FL 32811
Phone (407) 292-8992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1003064841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 N KIRKMAN RD STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111109",
            "telephone_number": "407-292-8992",
            "fax_number": "407-292-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 N KIRKMAN RD STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111109",
            "telephone_number": "407-292-8992",
            "fax_number": "407-292-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS ORTHOPAEDIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "SHAFFEEULLAH",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-292-8992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0041010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "47628",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069105400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.