Organization Active NPI

Orthopaedic Specialties of West Florida

  • Surgical Physician Assistant
  • Largo, FL
National Provider Identifier
1063908200
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ORTHOPAEDIC SPECIALTIES OF WEST FLORIDA
Practice address
561 4TH St SW
Largo, FL 33770-3515
Phone
(727) 433-1461
Fax
(727) 433-1461
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Mrs. Donna Gail Howard
Title
Administrator
Phone
(727) 433-1461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

561 4TH St SW
Largo, FL 33770-3515

Mailing address

561 4TH St SW
Largo, FL 33770-3515
Phone (727) 433-1461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1063908200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 4TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703515",
            "telephone_number": "727-433-1461",
            "fax_number": "727-433-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 4TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703515",
            "telephone_number": "727-433-1461",
            "fax_number": "727-433-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPECIALTIES OF WEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-433-1461",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.