NPIMap

Organization Active NPI

Orthopaedic Surgery and Sports Medicine Center P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Ormond Beach, FL
National Provider Identifier
1861794208
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOPAEDIC SURGERY AND SPORTS MEDICINE CENTER P.A.
Practice address
141 Sagebrush TRL
Ste C
Ormond Beach, FL 32174-8115
Phone
(386) 672-7850
Fax
(386) 673-8606
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
James H Acker, M.D.NPI 1972653434
Title
Owner/President
Phone
(386) 672-7850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

141 Sagebrush TRL
Ste C
Ormond Beach, FL 32174-8115

Mailing address

141 Sagebrush TRL
Ste C
Ormond Beach, FL 32174-8115
Phone (386) 672-7850

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Surgery and Sports Medicine Center PA2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1861794208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SAGEBRUSH TRL",
            "address_2": "STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748115",
            "telephone_number": "386-672-7850",
            "fax_number": "386-673-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SAGEBRUSH TRL",
            "address_2": "STE C",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748115",
            "telephone_number": "386-672-7850",
            "fax_number": "386-673-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY AND SPORTS MEDICINE CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "386-672-7850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.