Walter Bruce Kane II, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS4124 Issued in FL

Practice address

1455 Collingswood Ave
Marco Island, FL 34145-5833

Phone

(248) 851-5633

Fax

(248) 851-5634

NPI assigned

Jul 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 12, 2023 through Jul 12, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1982867701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29226 ORCHARD LAKE RD",
            "address_2": "SUITE # 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342984",
            "telephone_number": "248-851-5633",
            "fax_number": "248-851-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 COLLINGSWOOD AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341455833",
            "telephone_number": "248-851-5633",
            "fax_number": "248-851-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "WALTER",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34.003071",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS4124",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101006877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Dorriece Jones
• Nyron Jones
• Joseph F Lang MD PL
• Joseph Vickaryous D.O. P.a.
• Josephine V Jasper MD PA
• Pia Elaine Kennedy
• Alysia Suvin Kim
• Randi Lea Kirkpatrick
• Rashad Kiwan
• Marrgaret A Klasa, DC,RN,APRN

• Orthopaedic Surgery Physician in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.