Organization Active NPI

Mario a John MD PC

Doing business as Universal Orthopedics

  • Orthopaedic Surgery Physician
  • Clermont, FL
National Provider Identifier
1275171589
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MARIO A JOHN MD PC
Doing business as
Universal Orthopedics
Practice address
13900 County Road 455 Ste 107-313
Clermont, FL 34711-9052
Phone
(202) 257-0428
Fax
(407) 386-7878
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Mario A John, MD
Title
Owner
Phone
(202) 257-0428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

13900 County Road 455 Ste 107-313
Clermont, FL 34711-9052

Mailing address

13900 County Road 455 Ste 107-313
Clermont, FL 34711-9052
Phone (202) 257-0428

Other names 1

  • UNIVERSAL ORTHOPEDICS Doing business as

National Provider Directory

National Provider Directory

Locations

13900 County Road 455
Ste 107313
Clermont, FL 34711
Phone (202) 257-0428

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1275171589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 COUNTY ROAD 455 STE 107-313",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119052",
            "telephone_number": "202-257-0428",
            "fax_number": "407-386-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 COUNTY ROAD 455 STE 107-313",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347119052",
            "telephone_number": "202-257-0428",
            "fax_number": "407-386-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO A JOHN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-257-0428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.