Individual provider Active NPI

Malcolm C Maclaren, DO

  • Orthopaedic Surgery Physician
  • Odessa, FL
National Provider Identifier
1801891270
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS8857 Issued in FL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000517 FL Practitioner - Orthopedic Surgery 2163443748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
V.P. Nagarajan, M.D. PastSince Jun 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.