NPIMap

Organization Active NPI

Coastal Orthopedics & Sports Medicine of Southwest Florida PA

  • Orthopaedic Surgery Physician
  • Bradenton, FL
National Provider Identifier
1285740720
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA
Practice address
8000 Sr 64 E
Bradenton, FL 34212
Phone
(941) 792-1404
Fax
(941) 761-0712
NPI assigned
Aug 21, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Paige Lemay
Title
Ceo
Phone
(941) 792-1404

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 128

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

View all 128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040803000816 FL Part B Supplier - Clinic/Group Practice 3274504386 Receives reassigned benefits from 80 practitioners
1 other NPI on this enrollment
Practice locations: Bradenton, FL; Lakewood Ranch, FL
O20100930058239 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3274504386 1 other NPI on this enrollment
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

5101 4th Avenue Cir E
Ste 500
Bradenton, FL 34208

5101 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 782-2000

560 S Lakewood Dr
Brandon, FL 33511
Phone (813) 657-8448

430 Morton Plant St
Ste 301
Clearwater, FL 33756

7525 NW 4th Blvd
Ste 90
Gainesville, FL 32607
Phone (352) 647-9700

8340 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (914) 748-1818

8340 Lakewood Ranch Blvd
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 625-1420

1002 N Arnold Rd
Panama City Beach, FL 32413

1219 S East Ave
Ste 103
Sarasota, FL 34239
Phone (941) 225-8184

4002 Sun City Center Blvd
Unit A
Sun City Ctr, FL 33573
Phone (813) 634-3306

6117 Gunn Hwy
Ste 101
Tampa, FL 33625

12249 Stoneybrook West Pkwy
Unit 5
Winter Garden, FL 34787

Specialties & licenses 7

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0004X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

NPPES NPI Registry

Primary practice location

8000 Sr 64 E
Bradenton, FL 34212

Mailing address

8000 State Road 64 E
Bradenton, FL 34212-7703
Phone (941) 792-1404

Other practice location 1

6202 17th Ave W
Bradenton, FL 34209-7838
Phone (941) 792-1404

Other practice location 2

8340 Lakewood Ranch Blvd Ste 300
Lakewood Ranch, FL 34202-5046
Phone (941) 792-1404

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
00712OtherFLBCBS FL
264533500MedicaidFL
CF1532OtherFLRAILROAD MEDICARE

Other names 1

NPPES NPI Registry
  • Bradenton Orthopaedic Associates Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2025.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1285740720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 STATE ROAD 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342127703",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 SR 64 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6202 17th Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097838",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Lakewood Ranch Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025046",
            "country_code": "US",
            "telephone_number": "941-792-1404",
            "fax_number": "941-761-0712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDICS & SPORTS MEDICINE OF SOUTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "LEMAY",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-792-1404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "00712",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264533500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF1532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradenton Orthopaedic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bradenton Orthopaedic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.