Jewett Orthopaedic Clinic LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JEWETT ORTHOPAEDIC CLINIC LLC

Practice address

1285 Orange Ave
Winter Park, FL 32789-4949

Phone

(407) 647-2287

Fax

(407) 643-1300

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael V Jablonski, M.D.

Title

C.E.O.

Phone

(407) 647-2287

Specialties & licenses 14

Addresses

Other identifiers 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Sand Lake Surgicenter LLC

  dba Sand Lake Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Orlando, FL
  • NPI 1336445873

  Member Of

  NPD member
• Winter Park Surgery Center LP

  dba Physician's Surgical Care Center

  • Ambulatory Surgical Clinic/Center
  • Winter Park, FL
  • NPI 1417912353

  Member Of

  NPD member

Locations

Practitioners 53

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

• Hana Nasim Ahmed, MD

  • Dermatopathology Physician
  • Mount Dora, FL
  • NPI 1134682685
  NPD (past)
• Saqib Ahmed, M.D.

  • MOHS-Micrographic Surgery Physician
  • Longwood, FL
  • NPI 1801214721
  NPD (past)
• Kevin M Boerner, PAC

  • Surgical Physician Assistant
  • Celebration, FL
  • NPI 1457346959
  NPD (past)
• Mary Lynn Brown, M.D.

  • Orthopaedic Surgery Physician
  • Winter Park, FL
  • NPI 1083613533
  NPD (past)
• John F Byrnes Jr., PA C

  • Physician Assistant
  • Apopka, FL
  • NPI 1639163629
  NPD (past)
• David John Casper, M.D.

  • Dermatology Physician
  • The Villages, FL
  • NPI 1164614004
  NPD (past)
• Richard Kent Chapman, PA C

  • Surgical Physician Assistant
  • Orlando, FL
  • NPI 1437144953
  NPD (past)
• Robert W Demetrius, MD

  • Procedural Dermatology Physician
  • Mount Dora, FL
  • NPI 1386603009
  NPD (past)
• Stephanie Marie Duberke, DPT

  • Physical Therapist
  • Winter Park, FL
  • NPI 1023237377
  NPD (past)
• Laurie Fashakin, PA

  • Physician Assistant
  • Maitland, FL
  • NPI 1275588063
  NPD (past)
• Alfredo E Gonzalez, M.D.

  • Dermatology Physician
  • Winter Park, FL
  • NPI 1659402840
  NPD (past)
• Jeffrey S. Greenwald, M.D.

  • Dermatology Physician
  • Mount Dora, FL
  • NPI 1679532923
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1821097437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894949",
            "telephone_number": "407-647-2287",
            "fax_number": "407-643-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894949",
            "telephone_number": "407-647-2287",
            "fax_number": "407-643-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWETT ORTHOPAEDIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "JABLONSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "407-647-2287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060759200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.