NPIMap

Organization Active NPI

Hughston Orthopaedic Southeast PC

  • Durable Medical Equipment & Medical Supplies
  • Deland, FL
National Provider Identifier
1659068377
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HUGHSTON ORTHOPAEDIC SOUTHEAST PC
Practice address
929 N Spring Garden Ave Ste 927a
Deland, FL 32720-0900
Phone
(321) 415-1020
NPI assigned
Apr 21, 2023
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Amanda Fromkin
Title
Cred Dir
Phone
(706) 494-3071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

929 N Spring Garden Ave Ste 927a
Deland, FL 32720-0900

Mailing address

PO Box 370
Fortson, GA 31808-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230825000153 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3274819644 Practice locations: Deland, FL

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Hughston Ortho SE PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

112 Park Place Blvd
Davenport, FL 33837
Phone (407) 343-1825

141 Webb Dr
Ste 300
Davenport, FL 33837
Phone (863) 422-0020

3627 University Blvd S
Ste 550
Jacksonville, FL 32216
Phone (904) 379-5986

7051 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 432-1521

1670 Eagle Harbor Pkwy
Orange Park, FL 32003

8300 Red Bug Lake Rd
Oviedo, FL 32765
Phone (407) 359-6007

8400 Red Bug Lake Rd
Ste 1050
Oviedo, FL 32765
Phone (407) 340-0263

7251 University Blvd
Ste 100
Winter Park, FL 32792
Phone (407) 677-0066

111 Highway 70 E
Ste 103
Dickson, TN 37055
Phone (615) 326-2295

345 23rd Ave N
Ste 201
Nashville, TN 37203
Phone (615) 301-9720

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1659068377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SPRING GARDEN AVE STE 927A",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200900",
            "telephone_number": "321-415-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGHSTON ORTHOPAEDIC SOUTHEAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "FROMKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CRED DIR",
        "authorized_official_telephone_number": "706-494-3071"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

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