Radnothy Orthopaedics, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

056686 Issued in FL

Legal business name

RADNOTHY ORTHOPAEDICS, PA

Practice address

2051 Mayo Drive
Tavares, FL 32778

Phone

(352) 343-2171

Fax

(352) 343-1475

NPI assigned

Nov 21, 2006

Last updated

Nov 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon H. Radnothy, D.O.

Title

Physician/Owner

Phone

(352) 343-2171

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Radnothy Perry Orthopaedic Center Former legal business name

Practitioners 1

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.

• Victoria Henriquez, PA-C

  • Surgical Physician Assistant
  • Saint Helena, CA
  • NPI 1184909905
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1821163270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MAYO DRIVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "32778",
            "telephone_number": "352-343-2171",
            "fax_number": "352-343-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MAYO DRIVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "32778",
            "telephone_number": "352-343-2171",
            "fax_number": "352-343-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADNOTHY ORTHOPAEDICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "RADNOTHY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "352-343-2171",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "056686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI8654",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radnothy Perry Orthopaedic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Timothy James Pruett, DMD
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• Noella Puwol
• R.G. Therapy Services Inc. Dba: Legacy Home Health
• Mokhtar Khaled Elsayed Radwan, DO
• Radhakrisna Rajulapati, MD
• Bharathi Ramaiah, MD
• April Ramirez, LMT
• Diana Ramos

• Orthopaedic Surgery Physician in Tavares, FL
• Providers in Tavares, 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 Nov 12, 2019; 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.