NPIMap

Organization Active NPI

Atlantis Orthopaedics, P.a.

  • Specialist
  • Atlantis, FL
National Provider Identifier
1902862808
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME30380 Issued in FL
Legal business name
ATLANTIS ORTHOPAEDICS, P.A.
Practice address
130 JFK Dr
Suite 201
Atlantis, FL 33462-1141
Phone
(561) 967-4400
NPI assigned
Apr 21, 2006
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Dr. Jeffrey S Penner, M.D.NPI 1790883601
Title
President
Phone
(561) 967-4400

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
Specialist 174400000X ME30380 FL Primary

Addresses

Primary practice location

130 JFK Dr
Suite 201
Atlantis, FL 33462-1141

Mailing address

130 JFK Dr
Suite 201
Atlantis, FL 33462-1141
Phone (561) 967-4400

Other identifiers 1

IdentifierTypeStateIssuer
372154000MedicaidFL

National Provider Directory

National Provider Directory

Locations

130 John F Kennedy Dr
Ste 136
Lake Worth, FL 33462
Phone (561) 919-0090

130 John F Kennedy Dr
Ste 201
Lake Worth, FL 33462

900 Village Square Xing
Ste 170
Palm Beach Gardens, FL 33410

Practitioners & affiliated clinicians

Practitioners 8

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": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1902862808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JFK DR",
            "address_2": "SUITE 201",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-967-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JFK DR",
            "address_2": "SUITE 201",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-967-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS ORTHOPAEDICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-967-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372154000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.