NPIMap

Organization Active NPI

Palm Beach Orthopaedic Institute, PA

  • Non-Pharmacy Dispensing Site
  • Palm Beach Gardens, FL
National Provider Identifier
1912325846
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME94929 Issued in FL
Legal business name
PALM BEACH ORTHOPAEDIC INSTITUTE, PA
Practice address
4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627
Phone
(561) 694-7776
NPI assigned
Mar 28, 2014
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PALM BEACH ORTHOPAEDIC INSTITUTE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Christina Obrien
Title
Revenue Cycle Manager
Phone
(561) 727-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME94929 FL Primary

Addresses

Primary practice location

4215 Burns Rd Ste 100
Palm Beach Gardens, FL 33410-4627

Mailing address

4215 Burns Rd Ste 200
Palm Beach Gardens, FL 33410-4625
Phone (561) 727-1122

Other identifiers 1

IdentifierTypeStateIssuer
251791400MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Orthopaedic3 organizations share this tax ID, including this one
Part of
Palm Beach Orthopaedic

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1912325846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104625",
            "telephone_number": "561-727-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "561-694-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ORTHOPAEDIC INSTITUTE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALM BEACH ORTHOPAEDIC INSTITUTE, PA",
        "enumeration_date": "2014-03-28",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "561-727-1122"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME94929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251791400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.