FLORIDA ATLANTIC UNIVERSITY (NPI# 1134510688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134510688 |
| Entity Type | Organization |
| Organization Name | FLORIDA ATLANTIC UNIVERSITY |
| Other Organization Name | FAU SPORTS MEDICINE |
| Practice Address |
777 Glades Rd Department of Atlhletics Boca Raton FL 33431-6424 |
| Mailing Address |
777 Glades Rd Boca Raton FL 33431-6424 |
| Practice Telephone | 8005559073 |
| Practice Fax Number | 9723673452 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 8005559073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FAU Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873975 | Florida Atlantic University | Speech-Language Pathologist | 777 Glades Rd Bldg 47, Rm 413, Boca Raton, FL 33431-6424 | 2019-10-25 |
| 1093026619 | Florida Atlantic University | Family Medicine | 1650 Osceola Drive, West Palm Beach, FL 33409 | 2010-06-29 |
| 1396211421 | Florida Atlantic University | Family Medicine | 880 Nw 13th St Ste 400, Boca Raton, FL 33486-2342 | 2018-10-16 |
| 1053736405 | Florida Atlantic University | Family Medicine | 777 Glades Rd, Building Bc-71, Room 237, Boca Raton, FL 33431-6424 | 2014-02-21 |
| 1659640076 | Florida Atlantic University | Local Education Agency (LEA) | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2011-12-14 |
| 1255541850 | Florida Atlantic University | Clinic/Center | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2007-05-23 |
| 1164591954 | Florida Atlantic University | Clinical Neuropsychologist | 777 Glades Rd, Bldg Az-79, Boca Raton, FL 33431-6424 | 2006-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY | 777 Glades Rd, Boca Raton, FL 33431-6424 |
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY - HARBOR BRANCH OCEANOGRAPHIC INSTITUTE (FAU-HBOI) | 5600 N Us Highway 1, Fort Pierce, FL 34946-7331 |
| Oklahoma Business Registrations | FLORIDA ATLANTIC UNIVERSITY FOUNDATION, INC. | 777 Glades Rd Admin, 295, Boca Raton, FL 33431 |
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY RESEARCH CORPORATION | 777 Glades Rd, Boca Raton, FL 33431-6424 |
| Street Address |
777 GLADES RD DEPARTMENT OF ATLHLETICS |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-6424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760408074 | James Edward Galvin | Psychiatry & Neurology | 777 Glades Rd, Me104, 1st Floor, Boca Raton, FL 33431-6424 | 2006-07-14 |
| 1427674928 | Marie Connell | Nurse Practitioner | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-06-19 |
| 1083233175 | Emily Rose Nelson | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Bc71 Room 315, Boca Raton, FL 33431-6496 | 2020-04-09 |
| 1891323085 | Ashley Elizabeth Gureck | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-04-01 |
| 1548896434 | Craig John Robinson Wilder | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2020-03-23 |
| 1265068332 | Rachel Leeann Lewis | Preventive Medicine | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-20 |
| 1780210443 | Jared Goldstein | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2020-03-13 |
| 1487203931 | Noah Warren | Dietitian, Registered | 777 Glades Rd, Ss-8w Room 206b, Boca Raton, FL 33431-6496 | 2019-09-07 |
| 1982199428 | Allison Newsome | Specialist/Technologist | 777 Glades Rd, Boca Raton, FL 33431-6496 | 2018-06-27 |
| 1225520901 | Adam Joseph Mann | Student in an Organized Health Care Education/Training Program | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786890 | Allegiance Orthopaedic & Spine Institute Pllc | Orthopaedic Surgery | 9033 Glades Rd Ste B, Boca Raton, FL 33434-3939 | 2017-08-18 |
| 1891109914 | Wenzel Center for Chiropractic & Alternative Medicine, Inc. | Orthopaedic Surgery | 7015 Beracasa Way Ste 103, Boca Raton, FL 33433-3453 | 2014-06-17 |
| 1588082846 | David Buzas | Orthopaedic Surgery | Boca Raton Orthopaedic Group, 660 Glades Rd, Suite 460, Boca Raton, FL 33431 | 2014-04-03 |
| 1336333996 | James Kenda Jones | Orthopaedic Surgery | 7091 Ne 8th Dr, Boca Raton, FL 33487-2416 | 2007-08-28 |
| 1043414410 | Mirylsa Colon-martinez | Orthopaedic Surgery | 9970 Central Park Blvd N Ste 402, Boca Raton, FL 33428 | 2007-06-12 |
| 1184744674 | Arnold Eckhouse | Orthopaedic Surgery | 2250 Glades Road, 2nd Floor, Boca Raton, FL 33431-7314 | 2007-03-30 |
| 1033277850 | Bonemender, LLC. | Orthopaedic Surgery | 9033 Glades Rd Ste D, Boca Raton, FL 33434-3939 | 2006-12-05 |
| 1235207721 | Thomas John Stevens | Orthopaedic Surgery | 7511 Rexford Road, Boca Raton, FL 33434 | 2006-12-01 |
| 1437252624 | George Manuel Botelho | Orthopaedic Surgery | 9033 Glades Road, Suite D, Boca Raton, FL 33434-4609 | 2006-09-06 |
| 1528174570 | Jeffrey Minkoff | Orthopaedic Surgery | 9070 Kimberly Blvd Ste 24, Boca Raton, FL 33434-2861 | 2006-08-22 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
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| 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.