Active NPI
Atlantic Orthopaedics, PA
- Orthopaedic Surgery Physician
- Daytona Beach, FL
National Provider Identifier
1487788824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0027133
- Legal business name
- ATLANTIC ORTHOPAEDICS, PA
- Practice address
- 1020 Mason Ave
Daytona Beach, FL 32117 - Phone
- (386) 760-0915
- Fax
- (386) 760-0084
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley K Muck
- Title
- Practice Manager
- Phone
- (386) 760-0915
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0044566 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | ME0027133 | FL | Primary |
Addresses
Primary practice location
1020 Mason Ave
Daytona Beach, FL 32117
Mailing address
1400 Dunlawton Ave Ste 1-a
Port Orange, FL 32127-8952
Phone (386) 760-0915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0027133 | Other | FL | LISCENSE |
| ME0044566 | Other | FL | LISCENSE |
National Provider Directory
National Provider DirectoryLocations
1400 Dunlawton Ave
Ste 1A
Port Orange, FL 32127
Phone (386) 760-5008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1982665584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281052800000",
"number": "1487788824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 DUNLAWTON AVE STE 1-A",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321278952",
"telephone_number": "386-760-0915",
"fax_number": "386-760-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 MASON AVE",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32117",
"telephone_number": "386-760-0915",
"fax_number": "386-760-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC ORTHOPAEDICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2010-08-06",
"status": "A",
"authorized_official_last_name": "MUCK",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "386-760-0915",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0044566",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0027133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE",
"identifier": "ME0027133",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE",
"identifier": "ME0044566",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
- Atlantic Coast Prosthodontics Inc
- Atlantic Coast Prosthodontics, Inc.
- Atlantic Endocrine Associates P a
- Atlantic Gastroenterology Associates, P.a.
- Atlantic Nutrition Centers LLC
- Atlantic Podiatry Associates DPM PA
- Atlantic Snore and Sleep Apnea Center LLC
- Atlantic Surgery Center Inc
- Atlantic Urological Associates P a
- Atlantic Urological Associates P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.