Active NPI
John C Nordt III MD & Assoc PA
- Orthopaedic Surgery of the Spine Physician
- Coral Gables, FL
National Provider Identifier
1861483158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME 34439
- Legal business name
- JOHN C NORDT III MD & ASSOC PA
- Practice address
- 4720 Lejeune Rd.
Coral Gables, FL 33146 - Phone
- (305) 662-2851
- Fax
- (305) 662-2532
- NPI assigned
- Nov 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Charles Nordt III, M.D.
- Title
- President
- Phone
- (305) 662-2851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME 34439 | FL | Primary |
Addresses
Primary practice location
4720 Lejeune Rd.
Coral Gables, FL 33146
Mailing address
4720 Lejeune Road
Coral Gables, FL 33146
Phone (305) 662-2851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060810000346 | FL | Part B Supplier - Clinic/Group Practice | 1951304070 | Practice locations: Coral Gables, FL |
National Provider Directory
National Provider DirectoryLocations
4720 SW 42nd Ave
Coral Gables, FL 33146
Phone (305) 662-2851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383091200000",
"number": "1861483158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 LEJEUNE ROAD",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-662-2851",
"fax_number": "305-662-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 LEJEUNE RD.",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33146",
"telephone_number": "305-662-2851",
"fax_number": "305-662-2532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C NORDT III MD & ASSOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2013-10-30",
"status": "A",
"authorized_official_last_name": "NORDT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-662-2851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME 34439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.