John Gregory Atwater MD PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

ME119810 Issued in FL

Legal business name

JOHN GREGORY ATWATER MD PA

Practice address

1260 37TH St Ste 102
Vero Beach, FL 32960-6567

Phone

(772) 213-9800

Fax

(772) 213-9813

NPI assigned

Dec 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Gregory Atwater, MDNPI 1932115656

Title

President

Phone

(309) 287-4621

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBCGBD

Practitioners 2

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

• John G Atwater, M.D.

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1932115656

  Orthopaedic Surgery of the Spine

  Medicare reassignment Care Compare group NPD Authorized official
• Steephens Dumond

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1710758222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1982110094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 37TH ST STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606567",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 37TH ST STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606567",
            "telephone_number": "772-213-9800",
            "fax_number": "772-213-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GREGORY ATWATER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "ATWATER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-287-4621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME119810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "ME119810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.