Active NPI
Regenesis Orthopedics, PLLC
- Orthopaedic Surgery Physician
- South Pasadena, FL
National Provider Identifier
1073286787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- REGENESIS ORTHOPEDICS, PLLC
- Practice address
- 1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517 - Phone
- (727) 826-0329
- Fax
- (727) 202-7193
- NPI assigned
- Jul 28, 2021
- Last updated
- Oct 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Ragsdell, DO
- Title
- President
- Phone
- (727) 826-0329
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517
Mailing address
1615 Pasadena Ave S Ste 290
South Pasadena, FL 33707-4517
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- South Pasadena, FL
- NPI 1629196811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633392000000",
"number": "1073286787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE S STE 290",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 PASADENA AVE S STE 290",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337074517",
"telephone_number": "727-826-0329",
"fax_number": "727-202-7193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENESIS ORTHOPEDICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A",
"authorized_official_last_name": "RAGSDELL",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-826-0329",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.