Orthoclinic, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOCLINIC, INC.

Practice address

2315 Ruth Hentz Ave
Panama City, FL 32405-2260

Phone

(850) 630-5402

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Carol Davis

Title

President

Phone

(850) 630-5402

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1730587585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 RUTH HENTZ AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052260",
            "telephone_number": "850-630-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 RUTH HENTZ AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324052260",
            "telephone_number": "850-630-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-630-5402"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0000000000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER #",
            "identifier": "0000000000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oral Surgery & Dental Implant Center of Panama City, PLLC
• Ordonez & Dolar Medical Group LLC
• Michelli Ordoyne
• Rosaleny Orie, DDS
• Ortega Pulmonary Associates PA (Pulmonary Associates of Bay County PA)
• Orthopaedic Associates PA
• Osama Elshazly MD PA
• Mary Kathryn Osborne, M.D.
• William L Ott I, DMD
• Eman K Ottallah, DMD

• Prosthetic/Orthotic Supplier in Panama City, FL
• Providers in Panama City, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.