Pace Health Services, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PACE HEALTH SERVICES, INC.

Doing business as

Pace Prosthetics

Practice address

6631 Orion Dr Ste 110
Fort Myers, FL 33912-4333

Phone

(239) 268-4948

Fax

(239) 255-5980

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Theodore Macdonald

Title

Ceo

Phone

(615) 214-2777

Specialties & licenses 2

Addresses

Other names 1

• Pace Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pace Health Services, Inc.

  dba Pace Prosthetics

  • Prosthetic/Orthotic Supplier
  • Collierville, TN
  • NPI 1124697578

  9032321377

  Same PAC ID
• Pace Health Services, Inc.

  dba Pace Prosthetics

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1275571606

  9032321377

  Same PAC ID
• Pace Health Services, Inc.

  dba Pace Prosthetics

  • Prosthetic/Orthotic Supplier
  • North Charleston, SC
  • NPI 1700602513

  9032321377

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Pace Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pace Health Services, Inc.

  dba Pace Prosthetics

  • Prosthetic/Orthotic Supplier
  • Charleston, SC
  • NPI 1487417242
  NPD tax ID

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1851163778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 FESSLERS PKWY STE 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372102938",
            "telephone_number": "615-214-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 ORION DR STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124333",
            "telephone_number": "239-268-4948",
            "fax_number": "239-255-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-214-2777"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pace Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pace Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• P David Deleeuw, MD, PA
• Stacy Marie Paasche, PHARMD
• Stuart Paasche, PA
• Elena A Pablos Gonzalez, RBT-24-386569
• Pacaya Bay Surgery Center LLC
• Landy Pacheco Chaviano, DMD
• Ernesto Antonio Pacheco Diaz, APRN
• Jose Cassini Pacheco, MD
• Luz E Pacheco, ARNP
• Naomi Pacheco, CNM

• Prosthetic/Orthotic Supplier in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.