Orthopaedic Associates of South Broward PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME37564 Issued in FL

Legal business name

ORTHOPAEDIC ASSOCIATES OF SOUTH BROWARD PA

Practice address

4700 Sheridan St
Suite H
Hollywood, FL 33021-3420

Phone

(954) 961-3500

Fax

(954) 961-1835

NPI assigned

Sep 21, 2006

Last updated

Jun 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Strain, M.D.NPI 1770585127

Title

President

Phone

(954) 961-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Orthopaedic Associates of South Broward PA

  • Specialist
  • Pembroke Pines, FL
  • NPI 1205014776

  5890893648

  Same PAC ID

Locations

Practitioners 5

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.

• Richard E Strain, MD

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1770585127
  Medicare reassignment Care Compare group NPD Authorized official
• Warren Grossman, MD

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1487649224
  Medicare reassignment Care Compare group NPD
• Marc Nicholas Ialenti, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hollywood, FL
  • NPI 1750680336
  Medicare reassignment Care Compare group NPD
• Christopher Wong, M.D.

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1447423744
  Medicare reassignment Care Compare group NPD
• Diane Marie Ceruzzi, DO

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1104803253
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1568560449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE H",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-961-3500",
            "fax_number": "954-961-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE H",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-961-3500",
            "fax_number": "954-961-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES OF SOUTH BROWARD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "STRAIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-961-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME37564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ortega, PSY.D.
• Felicita Ortega
• Hilda Ortega
• Ortho Florida, LLC (Johannes V. Blom, M.D.)
• Ortho Florida, LLC (Pain Care Specialist of FL)
• Orthopaedic Rehab Ergonmics
• Orthopedic and Surgery Center LLC
• Orthopedic and Surgery Center LLC (Hollywood Spine and Rehabilitation)
• Orthopedic Specialty Instiute, PLLC
• Orthopedic Spine Solutions Corp

• Orthopaedic Surgery Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.