Orthopaedic Associates of Brevard LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME93258 Issued in FL

Legal business name

ORTHOPAEDIC ASSOCIATES OF BREVARD LLC

Doing business as

Orthopaedic Associates of Brevard

Practice address

1344 S Apollo Blvd
# 302
Melbourne, FL 32901-3183

Phone

(321) 309-2884

Fax

(321) 309-2807

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

WUESTHOFF FAMILY PHYSICIANS INCAs reported in NPPES

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

Authorized official

Name

Sandi Laroche

Title

Mso Credentialing Coordinator

Phone

(321) 449-4168

Specialties & licenses 1

Addresses

Other names 1

• Orthopaedic Associates of Brevard Doing business as

Part of

Wuesthoff Family Physicians Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wuesthoff Family Physicians, Inc

  • General Practice Physician
  • Rockledge, FL
  • NPI 1720092000
  NPPES parent name

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1407182819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY",
            "address_2": "# 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-449-4168",
            "fax_number": "321-449-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD",
            "address_2": "# 302",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-309-2884",
            "fax_number": "321-309-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF BREVARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WUESTHOFF FAMILY PHYSICIANS INC",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "MSO CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-449-4168"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME93258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Associates of Brevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Orriss
• Cailynn Ann Ortega
• Cindy E Ortega
• Ismael Ortega, M.D.
• Jodi Lynette Ortega
• Orthotic & Prosthetic Centers, Inc. (Orthotic & Prosthetic Center of Melbourne)
• Yazmin Aime Ortiz Sanchez, M.D. FAAP
• Anastacia Monica Kauimalie Ortiz
• Sylvia Ortiz
• Kelly Osborn

• Orthopaedic Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.