Organization Active NPI

McLovin Orthopaedics and Spine Center

Doing business as Bay Orthopaedics and Spine Center

  • Orthopaedic Surgery of the Spine Physician
  • St Petersburg, FL
National Provider Identifier
1659679645
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
MCLOVIN ORTHOPAEDICS AND SPINE CENTER
Doing business as
Bay Orthopaedics and Spine Center
Practice address
5901 Sun Blvd
Suite #206
St Petersburg, FL 33715-1166
Phone
(855) 957-7463
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Gordon N Holen, DO
Title
Physician Owner
Phone
(855) 957-7463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary

Addresses

Primary practice location

5901 Sun Blvd
Suite #206
St Petersburg, FL 33715-1166

Mailing address

PO Box 5776
Clearwater, FL 33758-5776
Phone (352) 222-4138

Other names 1

  • Bay Orthopaedics and Spine Center Doing business as

National Provider Directory

National Provider Directory

Locations

5901 Sun Blvd
Ste 206
St Petersburg, FL 33715
Phone (727) 310-0616

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1659679645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5776",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337585776",
            "telephone_number": "352-222-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 SUN BLVD",
            "address_2": "SUITE #206",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337151166",
            "telephone_number": "855-957-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLOVIN ORTHOPAEDICS AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "HOLEN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "855-957-7463",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Orthopaedics and Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.