Active NPI
Charlotte Orthopaedic Clinic Professional Association
- Orthopaedic Surgery Physician
- Port Charlotte, FL
National Provider Identifier
1952350977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CHARLOTTE ORTHOPAEDIC CLINIC PROFESSIONAL ASSOCIATION
- Practice address
- 4161 Tamiami TRL
Unit 101
Port Charlotte, FL 33952-9204 - Phone
- (941) 625-0984
- Fax
- (941) 625-0877
- NPI assigned
- May 8, 2006
- Last updated
- Aug 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elizabeth Renee McLure
- Title
- Practice Administrator
- Phone
- (941) 625-0984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
4161 Tamiami TRL
Unit 101
Port Charlotte, FL 33952-9204
Mailing address
4161 Tamiami TRL
Unit 101
Port Charlotte, FL 33952-9204
Phone (941) 625-0984
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7323528-002 | Other | FL | CIGNA-PAL |
| DE0219 | Other | FL | RR MEDICARE |
| 1596302000 | Other | FL | DEPT OF LABOR |
| 77674 | Other | FL | BLUE CROSS BLUE SHIELD |
| K2675 | Other | FL | MEDICARE |
| 0886990001 | Other | FL | PALMETTO |
| 4639456 | Other | FL | AETNA |
| DE0219 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
900 N Robert Ave
Fl 2
Arcadia, FL 34266
Phone (863) 884-2363
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.
-
- Occupational Therapist
- Port Charlotte, FL
- NPI 1184777583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1952350977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4161 TAMIAMI TRL",
"address_2": "UNIT 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339529204",
"telephone_number": "941-625-0984",
"fax_number": "941-625-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4161 TAMIAMI TRL",
"address_2": "UNIT 101",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339529204",
"telephone_number": "941-625-0984",
"fax_number": "941-625-0877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLOTTE ORTHOPAEDIC CLINIC PROFESSIONAL ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "MCLURE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "941-625-0984",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-PAL",
"identifier": "7323528-002",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE0219",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "1596302000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "77674",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "K2675",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "0886990001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4639456",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE0219",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
- Charlotte Heart Pharmacy LLC
- Charlotte Integrative Medicine
- Charlotte Internal Medicine Associates, P.a.
- Charlotte Nephrology Associates PA
- Charlotte Optical Inc
- Charlotte Pain Center Inc
- Charlotte Pain Clinic Incorporated
- Charlotte Pain Management Center Inc
- Charlotte Resources Inc (The MRI Center of Charlotte County)
- Gabriela Chavez Soler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.