NPIMap

Organization Active NPI

Musculoskeletal Institute Chartered

  • Orthopaedic Surgery Physician
  • Clearwater, FL
National Provider Identifier
1336772011
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MUSCULOSKELETAL INSTITUTE CHARTERED
Practice address
1011 Jeffords St BLDG C
Clearwater, FL 33756-4070
Phone
(727) 446-5993
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Roy W Sanders
Title
President
Phone
(813) 978-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1011 Jeffords St BLDG C
Clearwater, FL 33756-4070

Mailing address

1011 Jeffords St BLDG C
Clearwater, FL 33756-4070

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031106000215 FL Part B Supplier - Clinic/Group Practice 1052224102 Receives reassigned benefits from 462 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20200409002553 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1052224102 Practice locations: Clearwater, FL

Other NPIs with the same Medicare PAC ID 17

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

View all 17

Other NPIs on the same Medicare enrollment 29

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

View all 29

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1011 Jeffords St
Bldg D
Clearwater, FL 33756
Phone (727) 446-5993

1221 Ewing Ave
Ste D
Clearwater, FL 33756

1011 Jeffords St
Clearwater, FL 33756
Phone (727) 441-8199

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1336772011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 JEFFORDS ST BLDG C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 JEFFORDS ST BLDG C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564070",
            "telephone_number": "727-446-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULOSKELETAL INSTITUTE CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-978-9700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.