Ivy Spine & Orthopedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME100011 Issued in FL

Legal business name

IVY SPINE & ORTHOPEDICS, LLC

Practice address

742 Harrison Ave
Panama City, FL 32401-2524

Phone

(765) 635-1104

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

James C McLoughlin, MD

Title

Owner

Phone

(850) 815-7338

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18275/brand/1/csg/1/fhir/r4

Subparts reporting this organization as parent 1

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

• Ivy Spine & Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Tallahassee, FL
  • NPI 1215534011
  NPPES parent name

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1215433644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-628-7679",
            "fax_number": "850-257-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "765-635-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY SPINE & ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-09-07",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "MCLOUGHLIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-815-7338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME100011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanyaratana Isaac, DDS
• Isenberg Pediatric Occup Therapy Inc
• Isenberg Pediatric Occupational Therapy, Inc.
• Lindsey Ives, BCBA
• Deborah Ivey, ARNP
• Lynette Ivy, PTA
• Kavita Iyengar, MD
• Jack B Shumate M D P a
• Terri Aminah Jackson-Niiquaye, M.D.
• Briana Jackson

• Orthopaedic Surgery Physician in Panama City, FL
• Providers in Panama City, 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 7, 2021; 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.