NPIMap

Organization Active NPI

South Palm Orthospine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Boynton Beach, FL
National Provider Identifier
1730375346
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME55593 Issued in FL
Legal business name
SOUTH PALM ORTHOSPINE INSTITUTE
Practice address
8198 Jog Rd
Suite 100
Boynton Beach, FL 33472-2998
Phone
(561) 742-5959
Fax
(561) 734-2226
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Stewart G Eidelson, M.D.NPI 1790727253
Title
Owner
Phone
(561) 742-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X ME55593 FL Primary

Addresses

Primary practice location

8198 Jog Rd
Suite 100
Boynton Beach, FL 33472-2998

Mailing address

8198 Jog Rd
#100
Boynton Beach, FL 33472-2998
Phone (561) 742-5959

Other identifiers 1

IdentifierTypeStateIssuer
1730375346OtherFLNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1730375346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8198 JOG RD",
            "address_2": "#100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722998",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8198 JOG RD",
            "address_2": "SUITE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722998",
            "telephone_number": "561-742-5959",
            "fax_number": "561-734-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PALM ORTHOSPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "EIDELSON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-742-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME55593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1730375346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.