Orthopedic Surgery and Sports Med

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME53344 Issued in FL

Legal business name

ORTHOPEDIC SURGERY AND SPORTS MED

Practice address

1275 W Granada Blvd
Suite 3B
Ormond Beach, FL 32174-8259

Phone

(386) 672-7850

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Cavanaugh

Title

Billing Manager

Phone

(386) 274-5712

Specialties & licenses 1

Addresses

Tax ID family

Orthopaedic Surgery and Sports Medicine Center PA2 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.

• Orthopaedic Surgery and Sports Medicine Center P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Ormond Beach, FL
  • NPI 1861794208
  NPD tax ID

Practitioners 1

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

• James H Acker, MD

  • Orthopaedic Surgery Physician
  • Ormond Beach, FL
  • NPI 1972653434
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1982815650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "address_2": "SUITE 3B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W GRANADA BLVD",
            "address_2": "SUITE 3B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748259",
            "telephone_number": "386-672-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGERY AND SPORTS MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "386-274-5712"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME53344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ormond Radiology Partnership, L.L.C.
• Ormond Radiology Partnership, LLC
• Ormond Rehabilitation and Nursing Center LLC
• Ormonds Family Chiropractic Center
• Orthopaedic Surgery and Sports Medicine Center P.a.
• Elizabeth Louise Osborne, APRN
• Anthony Otero Falero, CRNA
• Cassie Owens
• Luis Oyola, DC
• Pablo Garcia Jr MD

• Sports Medicine (Orthopaedic Surgery) Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.