NPIMap

Organization Active NPI

Total MD Orthopedics & Neurosurgery

  • Specialist
  • Port St Lucie, FL
National Provider Identifier
1114321403
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CH5626 Issued in FL
Legal business name
TOTAL MD ORTHOPEDICS & NEUROSURGERY
Practice address
538 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5108
Phone
(772) 467-2677
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Donna Mark
Title
Coo
Phone
(561) 967-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X CH5626 FL Primary

Addresses

Primary practice location

538 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5108

Mailing address

6742 Forest Hill Blvd
Suite 291
Greenacres, FL 33413-3321
Phone (772) 467-2677

National Provider Directory

National Provider Directory
Tax ID family
Total MD Orthopedics Neurosurgery LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

538 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (561) 871-6222

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1114321403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 FOREST HILL BLVD",
            "address_2": "SUITE 291",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133321",
            "telephone_number": "772-467-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845108",
            "telephone_number": "772-467-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MD ORTHOPEDICS & NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-967-8888"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "CH5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.