Ortho One

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

ORTHO ONE

Practice address

6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379

Phone

(904) 619-3048

Fax

(904) 619-5753

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Fady El-Bahri, MDNPI 1780778308

Title

MD

Phone

(904) 536-8331

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fady A. El-Bahri, M.D.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1780778308
  NPD Authorized official

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1811472152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379",
            "telephone_number": "904-619-3048",
            "fax_number": "904-619-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Riverside Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044148",
            "country_code": "US",
            "telephone_number": "904-619-3048",
            "fax_number": "904-619-5753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "EL-BAHRI",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "904-536-8331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naila Ortega, D.D.S
• Samantha Lynn Ortego, LMHC
• Ortho 99 Plus 1
• Ortho 99 Plus 1 Bartram Park LLC
• Ortho 99 Plus 1 Beach LLC
• Ortho One Jacksonville
• Ortho Sport & Spine Physicians of Florida, LLC
• Ortho Sport and Spine Physicians Jacksonville
• Orthodontic Options, LLC
• Orthopedic & Neurosurgery Partners LLC

• Sports Medicine (Orthopaedic Surgery) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.