NPIMap

Organization Active NPI

Orlando Orthopaedic Center MD PA

Doing business as Orlando Orthopaedic Center - WL

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1164154407
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORLANDO ORTHOPAEDIC CENTER MD PA
Doing business as
Orlando Orthopaedic Center - WL
Practice address
464 N Alafaya TRL Ste 108
Orlando, FL 32828-4350
Phone
(407) 254-2500
NPI assigned
Jun 27, 2022
Last updated
Jun 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Kevin C Joyce
Title
Chief Executive Officer
Phone
(407) 254-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

464 N Alafaya TRL Ste 108
Orlando, FL 32828-4350

Mailing address

25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other names 1

  • Orlando Orthopaedic Center - WL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511001656 FL Part B Supplier - Clinic/Group Practice 3678562840 Receives reassigned benefits from 59 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Casselberry, FL; Lake Mary, FL; Orlando, FL; Oviedo, FL; Winter Garden, FL; Winter Park, FL
O20220920000880 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3678562840 Practice locations: Orlando, FL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2911 Red Bug Lake Rd
Ste 100
Casselberry, FL 32707
Phone (407) 699-9511

515 W State Road 434
Ste 321
Longwood, FL 32750
Phone (407) 834-1034

45 W Crystal Lake St
#320
Orlando, FL 32806
Phone (407) 254-2500

45 W Crystal Lake St
Ste 197
Orlando, FL 32806
Phone (407) 254-2500

45 W Crystal Lake St
Ste 320
Orlando, FL 32806
Phone (407) 254-2500

6424 Alexandra Louise Dr
Ste 200
Orlando, FL 32827
Phone (407) 418-0582

9685 Lake Nona Village Pl
Ste 102
Orlando, FL 32827
Phone (407) 418-0582

2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363

Practitioners & affiliated clinicians

Practitioners 87

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.

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1164154407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W CRYSTAL LAKE ST STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 N ALAFAYA TRL STE 108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284350",
            "telephone_number": "407-254-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO ORTHOPAEDIC CENTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-254-2555"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Orthopaedic Center - WL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando Orthopaedic Center - WL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

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