Palm Harbor Orthopedics PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME004566 Issued in FL

Legal business name

PALM HARBOR ORTHOPEDICS PA

Practice address

80 Pinnacles Dr
Suite 700
Palm Coast, FL 32164-2323

Phone

(386) 586-2234

Fax

(386) 586-2884

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Bathaw, M.D.

Title

Physician/Owner

Phone

(386) 586-2234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1841422581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352077",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321352077",
            "telephone_number": "386-586-2234",
            "fax_number": "386-586-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR",
            "address_2": "SUITE 700",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642323",
            "telephone_number": "386-586-2234",
            "fax_number": "386-586-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HARBOR ORTHOPEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "BATHAW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "386-586-2234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Coast Pkwy Opco LLC (Aviata at Grand Oaks)
• Palm Coast Recovery Center LLC
• Palm Coast Sports Medicine and Rehab
• Palm Coast Surgery Center LLC
• Palm Harbor Family Practice and Walk in Clinic PA
• Palm Tree Podiatry PLLC (Palm Tree Podiatry)
• Palm Tree Podiatry PLLC (Palm Tree Podiatry)
• Joseph Palmer, DO
• Natalie M Palmer
• Pampered Parents, Alf, Inc. (Pampered Parents, ALF)

• Orthopaedic Surgery Physician in Palm Coast, FL
• Providers in Palm Coast, 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 Aug 11, 2010; 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.