NPIMap

Organization Active NPI

Total Orthopaedic Care PA

  • Orthopaedic Surgery Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1558317545
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TOTAL ORTHOPAEDIC CARE PA
Practice address
4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260
Phone
(954) 735-3535
Fax
(954) 484-7000
NPI assigned
May 25, 2006
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Ms. Deborah Bilodeau
Title
Ceo
Phone
(954) 735-3535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260

Mailing address

4850 W Oakland Park Blvd
Suite 201
Lauderdale Lakes, FL 33313-7260
Phone (954) 735-3535

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040908001365 FL Part B Supplier - Clinic/Group Practice 6709852957 Receives reassigned benefits from 26 practitioners
Practice locations: Coconut Creek, FL; Fort Lauderdale, FL; Lauderdale Lakes, FL; Miramar, FL; Pembroke Pines, FL; Plantation, FL; Weston, FL
O20181210002690 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6709852957 Practice locations: Lauderdale Lakes, FL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535

10794 Pines Blvd
#102104
Pembroke Pines, FL 33026

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1558317545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W OAKLAND PARK BLVD",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137260",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ORTHOPAEDIC CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "BILODEAU",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-735-3535",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.