Active NPI
Callenberger Orthopedic Specialists LLC
- Orthopaedic Surgery Physician
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 8441
- Legal business name
- CALLENBERGER ORTHOPEDIC SPECIALISTS LLC
- Practice address
- 205 N Banana River Dr
Suite 103
Merritt Island, FL 32952-2596 - Phone
- (321) 305-4931
- Fax
- (321) 305-4933
- NPI assigned
- Sep 11, 2008
- 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
- Dr. Mark Steven Callenberger, D.O.
- Title
- Owner
- Phone
- (321) 305-4931
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 8441 | FL | Primary |
Addresses
Primary practice location
205 N Banana River Dr
Suite 103
Merritt Island, FL 32952-2596
Mailing address
205 N Banana River Dr
Suite 103
Merritt Island, FL 32952-2596
Phone (321) 305-4931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
333 W Cocoa Beach Cswy
Ste E
Cocoa Beach, FL 32931
205 N Banana River Dr
Ste 103
Merritt Island, FL 32952
Phone (321) 305-4931
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
- Cocoa Beach, FL
- NPI 1629060512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246406400000",
"number": "1487803698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N BANANA RIVER DR",
"address_2": "SUITE 103",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329522596",
"telephone_number": "321-305-4931",
"fax_number": "321-305-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BANANA RIVER DR",
"address_2": "SUITE 103",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329522596",
"telephone_number": "321-305-4931",
"fax_number": "321-305-4933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALLENBERGER ORTHOPEDIC SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2009-07-01",
"status": "A",
"authorized_official_last_name": "CALLENBERGER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-305-4931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "8441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.