NPIMap

Organization Active NPI

Palm Beach Ortho-Spine Associates LLC

Doing business as Integramed Spine

  • Orthopaedic Surgery of the Spine Physician
  • West Palm BCH, FL
National Provider Identifier
1609478312
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
PALM BEACH ORTHO-SPINE ASSOCIATES LLC
Doing business as
Integramed Spine
Practice address
4631 N Congress Ave Ste 205
West Palm BCH, FL 33407-3209
Phone
(561) 725-0540
Fax
(561) 249-2731
NPI assigned
Nov 9, 2020
Last updated
Sep 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Authorized official

Name
Jason BillinghurstNPI 1205008109
Title
Physician/Owner
Phone
(561) 725-0540

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

4631 N Congress Ave Ste 205
West Palm BCH, FL 33407-3209

Mailing address

4631 N Congress Ave Ste 205
West Palm Beach, FL 33407-3209

Other names 1

  • INTEGRAMED SPINE Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210226000674 FL Part B Supplier - Clinic/Group Practice 5799190625 Receives reassigned benefits from 3 practitioners
Practice locations: Boynton Beach, FL; Margate, FL; West Palm BCH, FL
O20220915001013 FL DME Supplier - Physician - General Practice 5799190625 Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1609478312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE STE 205",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-725-0540",
            "fax_number": "561-249-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ORTHO-SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A",
        "authorized_official_last_name": "BILLINGHURST",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "561-725-0540"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTEGRAMED SPINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INTEGRAMED SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.