NPIMap

Organization Active NPI

Orthopaedic Center of Vero Beach P a

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1891795662
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC CENTER OF VERO BEACH P A
Practice address
1285 36TH St
Ste 100
Vero Beach, FL 32960-6587
Phone
(772) 778-2009
Fax
(772) 778-2910
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
David West Griffin, M.D.
Title
President
Phone
(772) 778-2009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X

Addresses

Primary practice location

1285 36TH St
Ste 100
Vero Beach, FL 32960-6587

Mailing address

1285 36TH St
Ste 100
Vero Beach, FL 32960-6587
Phone (772) 778-2009

Other identifiers 1

IdentifierTypeStateIssuer
262371400MedicaidFL

Other names 1

  • Orthopaedic Center of Vero Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031222000335 FL Part B Supplier - Clinic/Group Practice 2668370131 Receives reassigned benefits from 14 practitioners
Practice locations: Vero Beach, FL
O20100930003431 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2668370131 Practice locations: Vero Beach, FL

National Provider Directory

National Provider Directory

Locations

1285 36th St
Ste 100
Vero Beach, FL 32960
Phone (772) 778-2009

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1891795662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 36TH ST",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606587",
            "telephone_number": "772-778-2009",
            "fax_number": "772-778-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 36TH ST",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606587",
            "telephone_number": "772-778-2009",
            "fax_number": "772-778-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC CENTER OF VERO BEACH P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-778-2009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262371400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Center of Vero Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.