Active NPI
Malcolm C Maclaren, DO
- Orthopaedic Surgery Physician
- Odessa, FL
National Provider Identifier
1801891270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS8857
- Practice address
- 18133 Patterson Rd
Odessa, FL 33556-2214 - Phone
- (813) 496-1075
- Fax
- (813) 249-7762
- NPI assigned
- Jun 14, 2005
- Last updated
- Feb 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS8857 | FL | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | OS8857 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | OS8857 | FL | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | OS8857 | FL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | OS8857 | FL | |
| Orthopaedic Trauma Physician | 207XX0801X | OS8857 | FL | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | OS8857 | FL |
Addresses
Primary practice location
18133 Patterson Rd
Odessa, FL 33556-2214
Mailing address
18133 Patterson Rd
Odessa, FL 33556-2214
Phone (813) 496-1075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051213000517 | FL | Practitioner - Orthopedic Surgery | 2163443748 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V.P. Nagarajan, M.D. | Past | Accepting new patients |
Interoperability endpoints
- malcolmchristopher.maclaren@cccl.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Tampa, FL
- NPI 1508019142
-
- Urology Physician
- Brooksville, FL
- NPI 1366629628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1801891270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18133 PATTERSON RD",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562214",
"telephone_number": "813-496-1075",
"fax_number": "813-249-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18133 PATTERSON RD",
"city": "ODESSA",
"state": "FL",
"postal_code": "335562214",
"telephone_number": "813-496-1075",
"fax_number": "813-249-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLAREN",
"first_name": "MALCOLM",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS8857",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "OS8857",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "OS8857",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "OS8857",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "OS8857",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "OS8857",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "FL",
"license": "OS8857",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
- Longlife Welcare Services
- Jane Cox Lord, M.D.
- Loving It Home Care Agency LLC.
- Jodie Lynn Luster, L.M.H.C.
- Luxottica Retail North America Inc (Target Optical #C4397)
- Victoria Christina Mahairas, M.S., CF-SLP
- Shamod Mahawela Mudiyanselage
- Nicole Elizabeth Maitre, OTR/L
- Cristalnoel Villegas Maldonado
- Brenda M Manzanares, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.