NPIMap

Organization Active NPI

Orlando Orthopaedic Center MD PA

Doing business as Orlando Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Orlando, FL
National Provider Identifier
1457601189
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORLANDO ORTHOPAEDIC CENTER MD PA
Doing business as
Orlando Orthopaedic Center
Practice address
6424 Alexandra Louise Dr Ste 200
Orlando, FL 32827-5810
Phone
(407) 418-0582
Fax
(407) 423-2789
NPI assigned
Sep 10, 2012
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Mr. Kevin C Joyce
Title
Executive Director
Phone
(407) 254-2522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

6424 Alexandra Louise Dr Ste 200
Orlando, FL 32827-5810

Mailing address

25 W. Crystal Lake Street
Suite 200
Orlando, FL 32806-4476
Phone (407) 254-2500

Other names 1

  • Orlando Orthopaedic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511001656 FL Part B Supplier - Clinic/Group Practice 3678562840 Receives reassigned benefits from 59 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Casselberry, FL; Lake Mary, FL; Orlando, FL; Oviedo, FL; Winter Garden, FL; Winter Park, FL
O20130325000366 FL DME Supplier - Physician - General PracticeDME Supplier - Sports Medicine 3678562840 Practice locations: Orlando, FL

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1457601189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W. CRYSTAL LAKE STREET",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064476",
            "telephone_number": "407-254-2500",
            "fax_number": "407-423-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 ALEXANDRA LOUISE DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328275810",
            "telephone_number": "407-418-0582",
            "fax_number": "407-423-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO ORTHOPAEDIC CENTER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-254-2522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orlando Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.