Orange Park Spine Institute LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME80012 Issued in FL

Legal business name

ORANGE PARK SPINE INSTITUTE LLC

Practice address

1409 Kingsley Ave
Suite 1D
Orange Park, FL 32073-4537

Phone

(904) 504-7767

Fax

(904) 375-1761

NPI assigned

Jan 30, 2017

Last updated

Jan 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Constantine Andrew Toumbis, MD, PHD

Title

President/Surgeon

Phone

(352) 257-3391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1366989246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "SUITE 1D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-504-7767",
            "fax_number": "904-375-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "SUITE 1D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-504-7767",
            "fax_number": "904-375-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE PARK SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "TOUMBIS",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/SURGEON",
        "authorized_official_telephone_number": "352-257-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME80012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange Park Pediatric Associates, PA
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• Orange Park Pharmacy Inc.
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• Orange Park Sleep Center LLC
• Kathryn Orason
• Colleen Orbegoso, RDN, LDN
• Myla Espanol Orejudos, APRN
• Jennifer Orem
• Organizational Management Solutions, Inc. (Family Services and Resource Center, Inc.)

• Orthopaedic Surgery of the Spine Physician in Orange Park, FL
• Providers in Orange Park, 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 Jan 30, 2017; 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.