Organization Active NPI

Westchase Sports Medicine Orthopaedics, LLC.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Tampa, FL
National Provider Identifier
1700100179
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
OS8857 Issued in FL
Legal business name
WESTCHASE SPORTS MEDICINE ORTHOPAEDICS, LLC.
Practice address
11301 Countryway Blvd
Tampa, FL 33626-2610
Phone
(813) 855-8450
Fax
(813) 855-7540
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Malcolm Christopher Maclaren, D.O.
Title
Partner
Phone
(813) 855-8450

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X ME100433 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS8857 FL Primary

Addresses

Primary practice location

11301 Countryway Blvd
Tampa, FL 33626-2610

Mailing address

11301 Countryway Blvd
Tampa, FL 33626-2610
Phone (813) 855-8450

National Provider Directory

National Provider Directory

Locations

12191 W Linebaugh Ave
Westchase, FL 33626

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1700100179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610",
            "telephone_number": "813-855-8450",
            "fax_number": "813-855-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 COUNTRYWAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262610",
            "telephone_number": "813-855-8450",
            "fax_number": "813-855-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHASE SPORTS MEDICINE ORTHOPAEDICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MACLAREN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "813-855-8450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME100433",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "OS8857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.