NPIMap

Organization Active NPI

Osler Medical Inc

  • Orthopaedic Foot and Ankle Surgery Physician
  • Melbourne, FL
National Provider Identifier
1265623938
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
PO01949 Issued in FL
Legal business name
OSLER MEDICAL INC
Practice address
930 S Harbor City Blvd
Melbourne, FL 32901-1963
Phone
(321) 725-5050
Fax
(321) 725-9100
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
L;Aurie Deborah Britt
Title
Credentialing Coordinator
Phone
(321) 725-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X PO01949 FL Primary

Addresses

Primary practice location

930 S Harbor City Blvd
Melbourne, FL 32901-1963

Mailing address

930 S Harbor City Blvd
Melbourne, FL 32901-1963
Phone (321) 725-5050

Other identifiers 1

IdentifierTypeStateIssuer
0884270001OtherFLPGBA SUPPLIER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Olser Medical8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1265623938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011963",
            "telephone_number": "321-725-5050",
            "fax_number": "321-725-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011963",
            "telephone_number": "321-725-5050",
            "fax_number": "321-725-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSLER MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "L;AURIE",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-725-5050"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "PO01949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA SUPPLIER NUMBER",
            "identifier": "0884270001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.