Central Florida Orthopaedic Surgery Associates PL

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME76265 Issued in FL

Legal business name

CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL

Practice address

2000 E Edgewood Dr
Suite 112
Lakeland, FL 33803-3653

Phone

(863) 666-3436

Fax

(863) 667-3550

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Vicki Sue Sharpe, CPC

Title

Practice Administrator

Phone

(863) 666-3436

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Timothy Evans, MD

  • Orthopaedic Surgery Physician
  • Lakeland, FL
  • NPI 1942696653

  FL, Orthopaedic Surgery

  Medicare reassignment NPD
• Stuart Drew Patterson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Lakeland, FL
  • NPI 1215931753

  FL

  Medicare reassignment NPD
• Kelly Krieger Roberts, ARNP

  • Adult Health Nurse Practitioner
  • Lakeland, FL
  • NPI 1801248281

  FL

  Medicare reassignment NPD
• John Long, PA

  • Physician Assistant
  • Lakeland, FL
  • NPI 1043028418

  FL

  Medicare reassignment
• Shiva Tajiani, PA-C

  • Physician Assistant
  • Davenport, FL
  • NPI 1417729252

  FL

  Medicare reassignment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1457458317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR",
            "address_2": "SUITE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033653",
            "telephone_number": "863-666-3436",
            "fax_number": "863-667-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR",
            "address_2": "SUITE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033653",
            "telephone_number": "863-666-3436",
            "fax_number": "863-667-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA ORTHOPAEDIC SURGERY ASSOCIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "863-666-3436",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME76265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC2168",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6419019001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7287263",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1844429",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "1994",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "43865",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Florida Health Care, Inc.
• Central Florida Health Care, Inc.
• Central Florida Imaging of Lakeland LLC
• Central Florida Internal Medicine Associates, P.L.
• Central Florida Kidney Care PA
• Central Florida Psychotherapy Services LLC
• Central Florida Rehab Specialists, Inc
• Central Florida Speech & Hearing Center
• Central Florida Speech & Hearing Center
• Central Health Associates

• Orthopaedic Surgery Physician in Lakeland, FL
• Providers in Lakeland, 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 Jul 28, 2015; 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.