Ottey Bone and Joint Associates LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME112364 Issued in FL

Legal business name

OTTEY BONE AND JOINT ASSOCIATES LLC

Practice address

417 W Call St
Starke, FL 32091-3115

Phone

(904) 368-0641

Fax

(904) 368-0643

NPI assigned

Mar 20, 2012

Last updated

Sep 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deron C Ottey, M.D.

Title

Owner

Phone

(904) 368-0641

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4318/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1114292422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913115",
            "telephone_number": "904-368-0641",
            "fax_number": "904-368-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W CALL ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913115",
            "telephone_number": "904-368-0641",
            "fax_number": "904-368-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTEY BONE AND JOINT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "OTTEY",
        "authorized_official_first_name": "DERON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-368-0641",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME112364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004663600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Florida Medical Sales and Rentals of Starke, Inc.
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• Northland Hearing Center, Inc. (U.S. Hearing Solutions)
• Andrew Lyn Owen, PA
• Dana Padgett, OTR/L
• Sunil Choudary Paladugu
• Roslyn Denise Parker
• Parkside Assisted Living

• Orthopaedic Surgery Physician in Starke, FL
• Providers in Starke, 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 Sep 23, 2016; 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.