Palm Beach Osteopathic Care, Inc.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS9152 Issued in FL

Legal business name

PALM BEACH OSTEOPATHIC CARE, INC.

Practice address

10887 N Military TRL Ste 5
Palm Beach Gardens, FL 33410-6528

Phone

(561) 324-9600

Fax

(561) 799-9980

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Dodge, PHYSICIAN'S WIFE

Title

Am

Phone

(561) 324-9600

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Stanley Walter Wisnioski III, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Palm Beach Gardens, FL
  • NPI 1043399900
  Medicare reassignment NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1497964407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 N MILITARY TRL STE 5",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106528",
            "telephone_number": "561-324-9600",
            "fax_number": "561-799-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10887 N MILITARY TRL STE 5",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106528",
            "telephone_number": "561-324-9600",
            "fax_number": "561-799-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH OSTEOPATHIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "AM",
        "authorized_official_telephone_number": "561-324-9600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICIAN'S WIFE"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "OS9152",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "OS9152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Heart Group P a
• Palm Beach Internal Medicine
• Palm Beach Neurology
• Palm Beach Orthopaedic Institute PA
• Palm Beach Orthopaedic Institute, PA
• Palm Beach Pain LLC
• Palm Beach Pathology, PA
• Palm Beach Psychiatry, PLLC
• Palm Beach Regional Opco LLC
• Palm Beach Spine Specialists

• Neuromusculoskeletal Medicine & OMM Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.