Island Coast O & P

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ORT110 Issued in FL

Legal business name

ISLAND COAST O & P

Doing business as

Island Coast Orthopedics, Inc

Practice address

923 Del Prado Blvd S
#204
Cape Coral, FL 33990-3652

Phone

(239) 573-9003

NPI assigned

May 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Arlene Ryder Ryder

Title

Cfo

Phone

(239) 573-9003

Specialties & licenses 1

Addresses

Other names 1

• Island Coast Orthopedics, Inc Doing business as

Tax ID family

Island Coast O P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Island Coast Orthopedics, Inc.

  • Prosthetic/Orthotic Supplier
  • Cape Coral, FL
  • NPI 1760548499
  NPD tax ID

Practitioners 1

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

• Joshua Ryder, CO

  • Prosthetist
  • Montague, MI
  • NPI 1629441258
  NPD

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1932557485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 NE 3RD ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096314",
            "telephone_number": "239-573-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 DEL PRADO BLVD S",
            "address_2": "#204",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903652",
            "telephone_number": "239-573-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COAST O & P",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "ARLENE RYDER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-573-9003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORT110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Coast Orthopedics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.