SE ORTHOPEDIC SPECIALISTS (NPI# 1053776468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053776468 |
| Entity Type | Organization |
| Organization Name | SE ORTHOPEDIC SPECIALISTS |
| Practice Address |
15255 Max Leggett Pkwy 5th Floor Jacksonville FL 32218-7273 |
| Mailing Address |
Po Box 9830 Salt Lake City UT 84109-9830 |
| Practice Telephone | 7277550693 |
| Practice Fax Number | 7277550679 |
| Mailing Telephone | 7277550693 |
| Mailing Fax Number | 7277550679 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | NICOLE SISKO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7277550693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | ME80485 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508221912 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 1658 St Vincents Way, Suite 100, Middleburg, FL 32068-8446 | 2015-12-30 |
| 1902261316 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 2300 Park Ave, Suite 203, Orange Park, FL 32073-5571 | 2015-12-30 |
| 1669837076 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 232 Ponte Vedra Park Dr, Ponte Vedra, FL 32082-6600 | 2015-12-30 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| Street Address |
15255 MAX LEGGETT PKWY 5TH FLOOR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727677 | George Michael Hagy | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218 | 2005-08-13 |
| 1417558982 | Alexia King | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-11-02 |
| 1013524685 | Trevena Nicole Sanders | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2020-09-28 |
| 1801447685 | Genelyn M Baroso | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-24 |
| 1235789546 | Paige Alyssa Bishop | Pharmacist | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2019-09-18 |
| 1841778461 | Hospitalist Medicine Physicians of Florida - Jacksonville, LLC | Internal Medicine | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-08-06 |
| 1013419282 | Transcendent Multiservice Assist, LLC | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-03-05 |
| 1407360894 | Brittany Yonker Allsup | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-11-22 |
| 1609387174 | Lacy Danielle Gulledge | Nurse Practitioner | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-10-23 |
| 1578008132 | Oanh Yvonne Green | Nurse Anesthetist, Certified Registered | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033626122 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 3059 Edgewood Avenue West, Jacksonville, FL 32209 | 2018-01-10 |
| 1346757432 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 9422 Arlington Expressway, Jacksonville, FL 32225 | 2018-01-10 |
| 1306033915 | Linear Rx, Inc | Non-Pharmacy Dispensing Site | 3333 Hendricks Ave, Jacksonville, FL 32207-5301 | 2007-09-27 |
| 1932680469 | Florida Physician Specialists LLC | Non-Pharmacy Dispensing Site | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2018-08-23 |
| 1114434206 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 6841 Blanding Blvd, Jacksonville, FL 32244 | 2018-01-10 |
| 1124531082 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1000 W Morton Ave, Jacksonville, IL 62650-3152 | 2017-11-14 |
| 1972969756 | Southeast Orthopedic Specialists, Inc | Non-Pharmacy Dispensing Site | 2627 Riverside Ave, Suite 300, Jacksonville, FL 32204-4712 | 2016-01-08 |
| 1275998908 | Se Orthopedic Specialists | Non-Pharmacy Dispensing Site | 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 | 2015-12-23 |
| 1295105310 | Podiatry Associates of Florida, Inc. | Non-Pharmacy Dispensing Site | 1914 Southside Blvd, #1, Jacksonville, FL 32216-1996 | 2015-10-01 |
| 1528450285 | Planned Parenthood of South Florida & The Treasure Coast | Non-Pharmacy Dispensing Site | 5978 Powers Ave, Jacksonville, FL 32217-2210 | 2015-03-04 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on SE ORTHOPEDIC SPECIALISTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.