Surfside Non-Surgical Orthopedics

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS9761 Issued in FL

Legal business name

SURFSIDE NON-SURGICAL ORTHOPEDICS

Practice address

4600 N Ocean Blvd
Suite 101
Boynton Beach, FL 33435-7365

Phone

(561) 901-3170

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Glenn S Chapman III, D.O.NPI 1982648390

Title

Medical Director

Phone

(561) 901-3170

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn S Chapman III, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boynton Beach, FL
  • NPI 1982648390
  Medicare reassignment NPD Authorized official
• Beau Nathan Freedman

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1891445656
  NPD

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1245649920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357365",
            "telephone_number": "561-901-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N OCEAN BLVD",
            "address_2": "SUITE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357365",
            "telephone_number": "561-901-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE NON-SURGICAL ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-901-3170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS9761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS9761",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise of Boynton Beach Opo, LLC (Sunrise of Boynton Beach)
• Sunshine State Wellness
• Superhero Kids Ppec, LLC.
• Surcan Holdings LLC (Mink Concierge)
• Surcan Holdings LLC (Mink Concierge)
• Surgical First Assist of the Palm Beaches
• Martine Surratt
• Sussman OBGYN LLC
• Alyssa Sussman, M.D.
• Kimberly Ann Sussman, D.O.

• Neuromusculoskeletal Medicine & OMM Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.