Organization Active NPI

John C Nordt III MD & Assoc PA

  • Orthopaedic Surgery of the Spine Physician
  • Coral Gables, FL
National Provider Identifier
1861483158
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
ME 34439 Issued in FL
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

Updated by the provider on Oct 30, 2013

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)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20060810000346 FL Part B Supplier - Clinic/Group Practice 1951304070 Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.