Florida Back Institute Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

FLORIDA BACK INSTITUTE INC

Practice address

1905 Clint Moore Rd
Suite 309
Boca Raton, FL 33496-2661

Phone

(561) 988-8988

Fax

(561) 912-1804

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey C Fernyhough, MDNPI 1811183676

Title

President

Phone

(561) 988-8988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 6

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

• Jeffrey C Fernyhough, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1811183676
  Medicare reassignment Care Compare group NPD Authorized official
• Nathaniel A Lowen, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Boca Raton, FL
  • NPI 1295921054
  Medicare reassignment Care Compare group NPD
• Thomas Stephen

  • Physical Therapist
  • Lauderhill, FL
  • NPI 1598372997
  Medicare reassignment Care Compare group NPD
• Scott W Howell, P.A.C.

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1790971430
  Medicare reassignment Care Compare group
• Ashlie Jobst, PA

  • Medical Physician Assistant
  • Delray Beach, FL
  • NPI 1225619802
  Medicare reassignment Care Compare group
• Caroline E Rangel, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1578932216
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1295916468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 309",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962661",
            "telephone_number": "561-988-8988",
            "fax_number": "561-912-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 309",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962661",
            "telephone_number": "561-988-8988",
            "fax_number": "561-912-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA BACK INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "FERNYHOUGH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-988-8988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Atlantic University
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• Florida Dental Sleep Disorders, P.a.

• Orthopaedic Surgery of the Spine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.