Space Coast Orthopaedic Center PL

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPACE COAST ORTHOPAEDIC CENTER PL

Practice address

220 N Sykes Creek Pkwy
Suite 200
Merritt Island, FL 32953-3490

Phone

(321) 459-1446

Fax

(321) 456-5195

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hani H El Kommos, M.D.NPI 1386673176

Title

Partner

Phone

(321) 459-1446

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Space Coast Orthopaedic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Locations

Practitioners 4

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

• Hani H El Kommos, MD

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1386673176

  FL, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Robert Smith Sedaros, MD

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1750313607

  FL, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Luc Teurlings, MD

  • Orthopaedic Surgery Physician
  • Merritt Island, FL
  • NPI 1598794398

  FL, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Nadine Rose De Freitas, PT, DPT, ATC

  • Physical Therapist
  • Merritt Island, FL
  • NPI 1508917758

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1811900749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N SYKES CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533490",
            "telephone_number": "321-459-1446",
            "fax_number": "321-456-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N SYKES CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533490",
            "telephone_number": "321-459-1446",
            "fax_number": "321-456-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST ORTHOPAEDIC CENTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "EL KOMMOS",
        "authorized_official_first_name": "HANI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "321-459-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265066500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space Coast Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javier J Soto, M.D.
• Sound Hearing Centers, LLC
• Space Coast Anesthesia Services LLC
• Space Coast Dermatology Clinic, PLLC
• Space Coast Lung & Sleep Center
• Space Coast Rheumatology & Arthritis Center PA
• Space Coast Surgery Center LLC
• Space Coast Surgical Center LTD
• Alan Gerard Spears
• SPMJ, Inc.

• All providers in Merritt Island, FL
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.