Active NPI
Westchase Sports Medicine Orthopaedics, LLC.
- Sports Medicine (Orthopaedic Surgery) Physician
- Tampa, FL
National Provider Identifier
1700100179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- OS8857
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Westchase ENT and Facial Plastic Surgery, P.a.
- Westchase Gastroenterology P a
- Westchase Ophthalmology Inc
- Westchase Orthopaedics, Inc
- Westchase Physical Therapy and Medical Supply LLC
- Westchase Taxi LLC
- Westcoast Brace & Limb
- Westcoast Brace & Limb
- Emily Allen Westerfield
- Emma Westermann-Clark, M.D.
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.