NPIMap

Organization Active NPI

The Center for Bone and Joint Disease, PA

  • Orthopaedic Surgery Physician
  • Lutz, FL
National Provider Identifier
1811404155
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE CENTER FOR BONE AND JOINT DISEASE, PA
Practice address
16506 Pointe Village Dr Ste 109
Lutz, FL 33558-5255
Phone
(727) 605-3808
Fax
(352) 503-2361
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Grace Nicole Martino
Title
Billing Department
Phone
(727) 857-4397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

16506 Pointe Village Dr Ste 109
Lutz, FL 33558-5255

Mailing address

7544 Jacque Rd
Hudson, FL 34667-7162
Phone (727) 697-2200

Other identifiers 2

IdentifierTypeStateIssuer
255796700MedicaidFL
38329OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

7544 Jacque Rd
Hudson, FL 34667
Phone (727) 697-2200

16506 Pointe Village Dr
Ste 109
Lutz, FL 33558
Phone (727) 605-3808

6800 N Dale Mabry Hwy
Ste 242
Tampa, FL 33614
Phone (813) 884-1314

10221 Yale Ave
Weeki Wachee, FL 34613
Phone (352) 405-1125

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1811404155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 JACQUE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677162",
            "telephone_number": "727-697-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16506 POINTE VILLAGE DR STE 109",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585255",
            "telephone_number": "727-605-3808",
            "fax_number": "352-503-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR BONE AND JOINT DISEASE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "727-857-4397"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255796700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38329",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.