Organization Active NPI

Island Orthopedics LLC

  • Orthopaedic Surgery Physician
  • St Thomas, VI
National Provider Identifier
1891905642
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
1376 Issued in VI
Legal business name
ISLAND ORTHOPEDICS LLC
Practice address
9154 Estate Thomas
Lower Level
St Thomas, VI 00802-2687
Phone
(340) 714-5400
NPI assigned
May 23, 2007
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Dr. Julia C Gardner, MDNPI 1225128689
Title
Owner
Phone
(340) 714-5400

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 1376 VI Primary

Addresses

Primary practice location

9154 Estate Thomas
Lower Level
St Thomas, VI 00802-2687

Mailing address

PO Box 503030
St Thomas, VI 00805-3030
Phone (340) 714-5400

Other identifiers 2

IdentifierTypeStateIssuer
1376OtherVIMEDICAL LICENSE
1004285OtherVIOFFICE OF HEALTH PRACTITI

National Provider Directory

National Provider Directory

Locations

9154 Estate Thomas
St Thomas, VI 00802
Phone (340) 714-0663

9154 Estate Thomas
Lowr
St Thomas, VI 00802
Phone (340) 714-5400

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1891905642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503030",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008053030",
            "telephone_number": "340-714-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9154 ESTATE THOMAS",
            "address_2": "LOWER LEVEL",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022687",
            "telephone_number": "340-714-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-714-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VI",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "1376",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF HEALTH PRACTITI",
            "identifier": "1004285",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.