Organization Active NPI

Tallahassee Orthopedic Clinic III PL

  • Durable Medical Equipment & Medical Supplies
  • Chipley, FL
National Provider Identifier
1093907495
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Practice address
1376 Brickyard Rd Ste 4
Chipley, FL 32428-6392
Phone
(850) 526-3236
Fax
(844) 261-6844
NPI assigned
Aug 10, 2007
Organization subpart
Yes
Parent organization
TALLAHASSEE ORTHOPEDIC CLINIC III PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Lori J Carter
Title
Business Office Director
Phone
(850) 219-1925

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1376 Brickyard Rd Ste 4
Chipley, FL 32428-6392

Mailing address

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other names 1

  • Tallahassee Orthopedic Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tallahassee Orthopedic51 organizations share this tax ID, including this one
Part of
Tallahassee Orthopedic

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Practitioners & affiliated clinicians

Practitioners 1

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": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1093907495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174",
            "fax_number": "844-261-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BRICKYARD RD STE 4",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324286392",
            "telephone_number": "850-526-3236",
            "fax_number": "844-261-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "850-219-1925"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chipley, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.