Specialty Orthopedic Associates PL

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME85679 Issued in FL

Legal business name

SPECIALTY ORTHOPEDIC ASSOCIATES PL

Practice address

1204 Carlton Avenue
Lake Wales, FL 33853

Phone

(863) 676-9523

Fax

(863) 678-3043

NPI assigned

Sep 20, 2006

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ponnavolu D Reddy, M.D.NPI 1154327781

Title

Owner

Phone

(863) 676-9523

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ponnavolu D. Reddy, MD

  • Orthopaedic Surgery Physician
  • Sebring, FL
  • NPI 1154327781
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1881792216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552187",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336550001",
            "telephone_number": "863-676-9523",
            "fax_number": "863-678-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CARLTON AVENUE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33853",
            "telephone_number": "863-676-9523",
            "fax_number": "863-678-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ORTHOPEDIC ASSOCIATES PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PONNAVOLU",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-676-9523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME85679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE2688",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norshawndra Marie Smith, PHARMD
• Patricia Ann Smith
• Maria Claudia Solorzano, M.D.
• Rajeswari S Sonni, M.D.
• Georgianna Walker Sorensen, ARNP LMHC PHD
• Speech Savvy Therapy Services, LLC
• Shelly Kay Spencer, M.A. CCC-SLP
• Claudia Spiker
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Matthew William Sprunt, PA-C

• Orthopaedic Surgery Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.