Olympic Orthopedics, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

166030 Issued in NY

Legal business name

OLYMPIC ORTHOPEDICS, PC

Practice address

652 Suffolk Ave Ste 210
Brentwood, NY 11717-4305

Phone

(631) 617-5181

Fax

(631) 617-5182

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Christopher S Durant, MD

Title

MD

Phone

(631) 842-2003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1275612145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 SUFFOLK AVE STE 210",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174305",
            "telephone_number": "631-617-5181",
            "fax_number": "631-617-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 SUFFOLK AVE STE 210",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174305",
            "telephone_number": "631-617-5181",
            "fax_number": "631-617-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC ORTHOPEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-842-2003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "166030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olubunmi Olanipekun Ogunwale
• Cynthia Okolski, L.A.C.S.W.-R
• Adesuwa Juile Olaofe, R.N.
• Jennifer Ann Olivella, FNP
• Rachel Olmeda
• Heather Dawn Onishea, CASAC-T
• Pearl K Onwuzo
• Belinda Opperman, LPN
• Optima Care Brentwood LLC
• Optimum Podiatry Group PLLC

• Orthopaedic Surgery Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.