Collier Regional Orthopaedic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME92348 Issued in FL

Legal business name

COLLIER REGIONAL ORTHOPAEDIC

Practice address

950 N Collier Blvd
Suite 304
Marco Island, FL 34145-2725

Phone

(239) 393-0030

Fax

(239) 394-6879

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey E Balazsy, MD

Title

President

Phone

(239) 393-0030

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1013046085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441220958",
            "telephone_number": "216-595-9600",
            "fax_number": "216-595-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "SUITE 304",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-393-0030",
            "fax_number": "239-394-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER REGIONAL ORTHOPAEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "BALAZSY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-393-0030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME92348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4303052",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "91108",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME92348",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collier Boulevard Hma Physician Management LLC
• Collier Health Services Inc
• Collier Health Services Inc
• Collier Hma Physician Management LLC
• Collier Hma Physician Managment, Inc.
• Patricia A Contreras-Groves, MD
• Kelsey Coons
• Mya Monique Cordero
• Core Health Partners of Southwest Florida
• Cosmic Smiles Family Dentistry

• All providers in Marco Island, FL
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.