SPINE & SPORTSMEDICINE SPECIALISTS (NPI# 1457485666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457485666 |
| Entity Type | Organization |
| Organization Name | SPINE & SPORTSMEDICINE SPECIALISTS |
| Practice Address |
17327 Ballmont Park Dr Odessa FL 33556-6209 |
| Practice Telephone | 9046874224 |
| Practice Fax Number | 8138522137 |
| Mailing Telephone | 9046874224 |
| Mailing Fax Number | 8138522137 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-11-13 |
| Authorized Official Name | MICHAEL JEROME LORD (PRESIDENT) |
| Authorized Official Telephone | 9046874224 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
17327 BALLMONT PARK DR |
| City | ODESSA |
| State | FL |
| Zip Code | 33556-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932336609 | Jane Cox Lord | Family Medicine | 17327 Ballmont Park Dr, Odessa, FL 33556-6209 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1700409240 | All In One Dme LLC | Durable Medical Equipment & Medical Supplies | 17086 Simms Road, Odessa, FL 33556 | 2020-05-19 |
| 1578123287 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 13589 State Road 54, Odessa, FL 33556 | 2019-06-14 |
| 1790244267 | Gabriela Fernandez Strickland | Psychologist | 16117 Lytham Drive, Odessa, FL 33556 | 2019-03-14 |
| 1699288266 | Melissa Knight | Pharmacist | 12515 Hitching St, Odessa, FL 33556 | 2017-11-06 |
| 1144604109 | Maria Litak | Pharmacist | 12500 State Road 54, Odessa, FL 33556 | 2015-07-19 |
| 1366671927 | Manik S Bedi | Dentist | 17751 Gunn Hwy, Odessa, FL 33556 | 2009-07-03 |
| 1043295090 | Kathleen Young Harrell | Nurse Practitioner | 17121 Rainbow Terrace, Odessa, FL 33556 | 2005-12-13 |
| 1558854281 | Thianna Marie Diamandis | Assistant Behavior Analyst | 16414 Lake Church Dr, Odessa, FL 33556 | 2018-06-07 |
| 1508384124 | Lacie Gunter | Behavior Technician | 16414 Lake Church Dr, Odessa, FL 33556 | 2017-09-04 |
| Find all providers in zip 33556 | ||||
| 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 |
|---|---|---|---|---|
| 1306072681 | Hugo Adam Keim | Orthopaedic Surgery | 16101 Carencia Ln, Odessa, FL 33556-3278 | 2009-06-01 |
| 1164432746 | Basin Orthopedic Surgical Specialists, P.a. | Orthopaedic Surgery | 1340 E 7th St, Odessa, TX 79761-4724 | 2006-08-08 |
| 1831164870 | James Billys | Orthopaedic Surgery | 2040 Short Ave, Odessa, FL 33556-3445 | 2006-02-22 |
| 1568452084 | Benjamin John Cunningham | Orthopaedic Surgery | 600 N Grant Ave, Suite 200, Odessa, TX 79761-4503 | 2005-10-26 |
| 1801891270 | Malcolm C Maclaren | Orthopaedic Surgery | 18133 Patterson Rd, Odessa, FL 33556-2214 | 2005-06-14 |
| 1083250914 | West Texas Spine Institute, Pllc | Orthopaedic Surgery | 500 E 4th St, Odessa, TX 79761-5110 | 2019-11-26 |
| 1770750440 | Mch Professional Care Orthopedics | Orthopaedic Surgery | 8050 E Highway 191, Suite 104a, Odessa, TX 79765-8607 | 2008-05-13 |
| 1356518146 | Vijay Borra | Orthopaedic Surgery | 519 N Lincoln Ave, Odessa, TX 79761-4429 | 2008-05-12 |
| 1942472428 | Permian Orthopaedic Associates | Orthopaedic Surgery | 500 N Washington Ave, Suite 400, Odessa, TX 79761-4401 | 2008-03-25 |
| 1447449103 | Benjamin J. Cunningham, M.d., P.a. | Orthopaedic Surgery | 600 N Grant Ave, Suite 200, Odessa, TX 79761-4503 | 2007-10-18 |
| Find all providers in ODESSA | ||||
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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.