Florida Orthopaedic Associates PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

FLORIDA ORTHOPAEDIC ASSOCIATES PA

Practice address

1053 Medical Center Drive
Suite 101
Orange City, FL 32763

Phone

(386) 774-2500

NPI assigned

Mar 26, 2007

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark W Hollmann, MDNPI 1457315772

Title

President

Phone

(386) 774-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Port Orange, FL
  • NPI 1023704269

  5890768535

  Same PAC ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Lake Mary, FL
  • NPI 1043480957

  5890768535

  Same PAC ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Deland, FL
  • NPI 1942263694

  5890768535

  Same PAC ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1992176135

  5890768535

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Florida Orthopaedic Associates PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Port Orange, FL
  • NPI 1023704269
  NPD tax ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Lake Mary, FL
  • NPI 1043480957
  NPD tax ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • Deland, FL
  • NPI 1942263694
  NPD tax ID
• Florida Orthopaedic Associates PA

  • Orthopaedic Surgery Physician
  • New Smyrna Beach, FL
  • NPI 1992176135
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark W Hollmann, MD

  • Orthopaedic Surgery Physician
  • Deland, FL
  • NPI 1457315772
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1740308253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-9122",
            "fax_number": "386-736-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 101",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-774-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA ORTHOPAEDIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HOLLMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-774-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.