ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC (NPI# 1346714797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346714797 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC |
| Other Organization Name | BLACKSTONE MEDICAL GROUP LLC |
| Practice Address |
190 Congress Park Dr Ste 160 Delray Beach FL 33445-4707 |
| Practice Telephone | 5613065383 |
| Mailing Telephone | 5613065383 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | DIANE RICCA (MANAGING PARTNER/OWNER) |
| Authorized Official Telephone | 5613065383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Blackstone Medical Group LLC | Doing Business As Name - Organization |
| Street Address |
190 CONGRESS PARK DR STE 160 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841287 | John E Baker | Orthopaedic Surgery | 190 Congress Park Dr Ste 160, Delray Beach, FL 33445-4707 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441169 | Medview, Inc | Clinic/Center | 78 Ne 5th Ave, Delray Beach, FL 33483-5427 | 2019-05-01 |
| 1104282854 | Han Ming Du | Clinic/Center | 15300 Jog Rd Ste 209, Delray Beach, FL 33446-2166 | 2016-01-11 |
| 1225420722 | Delray Pediatrics | Clinic/Center | 4800 Linton Blvd Ste E315, 87, Delray Beach, FL 33445-6585 | 2015-02-21 |
| 1417370784 | Massara Medical Center,llc | Clinic/Center | 455 Ne 5th Ave, Suite D -297, Delray Beach, FL 33483-5658 | 2014-01-22 |
| 1659544955 | Oxygen Rescue Care Centers of America, LLC | Clinic/Center | 525 Ne 3rd Ave Ste 107, Delray Beach, FL 33444-3800 | 2008-04-08 |
| 1720628571 | Profusion Chiropractic Pllc | Clinic/Center | 1200 Nw 17th Ave Ste 6, Delray Beach, FL 33445-2512 | 2020-01-09 |
| 1154988616 | First Patient Care Clinic,inc | Clinic/Center | 600 N Congress Ave Ste 420, Delray Beach, FL 33445-3458 | 2019-05-21 |
| 1346787488 | Metcare of Florida Inc | Clinic/Center | 601 N Congress Ave, Suite 403, Delray Beach, FL 33445-4703 | 2017-01-27 |
| 1376086082 | Palm Beach Wellness LLC | Clinic/Center | 2645 N Federal Hwy, Ste 120, Delray Beach, FL 33483-6100 | 2016-11-29 |
| 1346645025 | Iromedmd.inc | Clinic/Center | 15200 Jog Rd, Suite A-3, Delray Beach, FL 33446-1247 | 2014-10-24 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on ALLEGIANCE ORTHOPEDIC NEUROSURGERY AND SPINE INSTITUTE LLC.
| 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.