Organization Active NPI

Suncoast Orthopaedics & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Spring Hill, FL
National Provider Identifier
1710103411
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUNCOAST ORTHOPAEDICS & SPORTS MEDICINE CENTER
Practice address
10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656
Phone
(352) 686-6114
Fax
(352) 686-0796
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Fadi Zeidan, M.D.
Title
President
Phone
(352) 686-6114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X FL Primary

Addresses

Primary practice location

10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656

Mailing address

10441 Quality Dr
Suite 202
Spring Hill, FL 34609-9656
Phone (352) 686-6114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081119000697 FL Part B Supplier - Clinic/Group Practice 7911067038 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Hill, FL

National Provider Directory

National Provider Directory

Locations

10441 Quality Dr
Ste 202
Spring Hill, FL 34609
Phone (352) 686-6114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710103411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR",
            "address_2": "SUITE 202",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099656",
            "telephone_number": "352-686-6114",
            "fax_number": "352-686-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 QUALITY DR",
            "address_2": "SUITE 202",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099656",
            "telephone_number": "352-686-6114",
            "fax_number": "352-686-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST ORTHOPAEDICS & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEIDAN",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-686-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.