NPIMap

Organization Active NPI

Elite Orthopedic Specialists, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1376974097
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ELITE ORTHOPEDIC SPECIALISTS, LLC
Practice address
6918 Gunn Hwy
Suite E
Tampa, FL 33625-3853
Phone
(815) 852-2500
Fax
(813) 852-2602
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
George Dean Vanderhoof, A.C.H.E.
Title
Chief Executive Officer
Phone
(813) 505-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6918 Gunn Hwy
Suite E
Tampa, FL 33625-3853

Mailing address

6918 Gunn Hwy
Suite E
Tampa, FL 33625-3853
Phone (815) 852-2500

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1376974097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 GUNN HWY",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253853",
            "telephone_number": "815-852-2500",
            "fax_number": "813-852-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 GUNN HWY",
            "address_2": "SUITE E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253853",
            "telephone_number": "815-852-2500",
            "fax_number": "813-852-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ORTHOPEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "VANDERHOOF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "813-505-0790",
        "authorized_official_credential": "A.C.H.E."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.