Florida Orthopaedic Institute Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

#1135 Issued in FL

Legal business name

FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC

Practice address

13060 Telecom Parkway
Temple Terrace, FL 33637

Phone

(813) 972-4905

Fax

(813) 558-6441

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Collin Lemaistre

Title

Officer/Authorized Official

Phone

(214) 213-0732

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Florida Orthopaedic Institute Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1689188823

  1355474156

  Same PAC ID
• Florida Orthopaedic Institute Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1841605318

  1355474156

  Same PAC ID

Listed as

Florida Orthopaedic Institute Surgery Center LLCCCN 10C0001364

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cypress Ambulatory Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Florida Orthopaedic Institute Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1689188823
  NPD tax ID
• Florida Orthopaedic Institute Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1841605318
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Florida Orthopaedic Institute Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1689188823
  NPPES parent name
• Florida Orthopaedic Institute Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
  • NPI 1841605318
  NPPES parent name

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1205945243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13060 TELECOM PARKWAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-972-4905",
            "fax_number": "813-558-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13060 TELECOM PARKWAY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "33637",
            "telephone_number": "813-972-4905",
            "fax_number": "813-558-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-213-0732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "#1135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075261400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.