Organization Active NPI

Complex Orthopaedic Evaluations Inc.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1528521911
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMPLEX ORTHOPAEDIC EVALUATIONS INC.
Practice address
6817 Southpoint Pkwy Ste 1704
Jacksonville, FL 32216-6298
Phone
(904) 206-4141
Fax
(904) 647-2359
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
COMPLEX ORTHOPAEDIC EVALUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Richard Michael Blecha, MDNPI 1558385286
Title
Surgeon
Phone
(904) 206-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

6817 Southpoint Pkwy Ste 1704
Jacksonville, FL 32216-6298

Mailing address

6817 Southpoint Pkwy Ste 1704
Jacksonville, FL 32216-6298
Phone (904) 206-4141

Other names 1

  • Complex Medications Other name

National Provider Directory

National Provider Directory
Part of
Complex Orthopaedic Evaluations Inc

Practitioners & affiliated clinicians

Practitioners 1

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1528521911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-206-4141",
            "fax_number": "904-647-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY STE 1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166298",
            "telephone_number": "904-206-4141",
            "fax_number": "904-647-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX ORTHOPAEDIC EVALUATIONS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPLEX ORTHOPAEDIC EVALUTIONS, INC.",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BLECHA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "904-206-4141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complex Medications",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.