Organization Active NPI

Plantation Ortho, LLC

  • Orthopaedic Surgery Physician
  • Plantation, FL
National Provider Identifier
1871535377
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PLANTATION ORTHO, LLC
Practice address
4101 NW 4TH St
Suite 305
Plantation, FL 33317-2850
Phone
(954) 583-8130
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Gary Duncan
Title
VP
Phone
(954) 583-8130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4101 NW 4TH St
Suite 305
Plantation, FL 33317-2850

Mailing address

4101 NW 4TH St
Suite 305
Plantation, FL 33317-2850
Phone (954) 583-8130

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1871535377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-583-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST",
            "address_2": "SUITE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172850",
            "telephone_number": "954-583-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION ORTHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-583-8130"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.