NPIMap

Organization Active NPI

Integrity Spine and Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
National Provider Identifier
1356108989
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INTEGRITY SPINE AND ORTHOPEDICS LLC
Practice address
1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935
Phone
(904) 456-0017
Fax
(904) 456-0018
NPI assigned
Feb 29, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Matthew Terry
Title
President/Coo
Phone
(904) 456-0017

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Nurse Practitioner 363L00000X
Adult Health Nurse Practitioner 363LA2200X
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Surgery of the Spine Physician 207XS0117X
Surgery Physician 208600000X

Addresses

Primary practice location

1811 Blanding Blvd Ste 102
Middleburg, FL 32068-4935

Mailing address

14785 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-7407
Phone (904) 456-0017

National Provider Directory

National Provider Directory

Locations

14785 Old St Augustine Rd
Ste 100
Jacksonville, FL 32258
Phone (855) 592-2727

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1356108989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 OLD SAINT AUGUSTINE RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587407",
            "telephone_number": "904-456-0017",
            "fax_number": "904-456-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 BLANDING BLVD STE 102",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320684935",
            "telephone_number": "904-456-0017",
            "fax_number": "904-456-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY SPINE AND ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "904-456-0017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.