Sports and Orthopedic Center PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPORTS AND ORTHOPEDIC CENTER PA

Practice address

2001 W Sample Rd
Suite 322
Deerfield Beach, FL 33064-1342

Phone

(954) 481-9942

Fax

(954) 481-9917

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Manish Gupta, MDNPI 1770687386

Title

Owner

Phone

(954) 481-9942

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Manish K Gupta, MD

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
  • NPI 1770687386
  Medicare reassignment Care Compare group NPD Authorized official
• Marvens Jean, APRN

  • Adult Health Nurse Practitioner
  • Deerfield Beach, FL
  • NPI 1760267207
  Medicare reassignment Care Compare group NPD
• Nicholas Mataragas, MD

  • Orthopaedic Surgery of the Spine Physician
  • Deerfield Beach, FL
  • NPI 1487621009
  Medicare reassignment Care Compare group NPD
• Freddi Alexa Newman, PA-C

  • Physician Assistant
  • Deerfield Beach, FL
  • NPI 1578430716
  Medicare reassignment NPD

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1093111890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD",
            "address_2": "SUITE 322",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641342",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W SAMPLE RD",
            "address_2": "SUITE 322",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330641342",
            "telephone_number": "954-481-9942",
            "fax_number": "954-481-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHOPEDIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-481-9942",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Orthopedic Associates
• Carolyn Spinner
• Henry Michael Spira, MD
• Ilana Faith Spodak, L.M.T., C.N.M.T.
• Denise Spornraft, CCC-SLP
• Anna Sporysheva, MD
• Leslie Sprigg
• Ashlie Springer
• Leana Sharmekia Spurlock Brown
• SS Broward I Community HC LLC (Deerfield Beach Health And Rehabilitation Center)

• Orthopaedic Surgery Physician in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.