BRANDON SHALLOP (NPI# 1720490105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720490105 |
| Entity Type | Individual |
| Full Name | BRANDON SHALLOP |
| Credential | M.D. |
| Practice Address |
180 Jfk Dr Ste 100 Atlantis FL 33462-6641 |
| Practice Telephone | 5619676500 |
| Mailing Telephone | 5619676500 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | HS000293L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE | ME145829 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 245 N 15th St, 7th Floor, Room 7220, Philadelphia, PA 191021101 | 2157628168 |
| Street Address |
180 JFK DR STE 100 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476701 | Charles W Graubert | Physical Medicine & Rehabilitation | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2006-05-19 |
| 1760027791 | Nicholas Morgan | Physician Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2019-11-13 |
| 1881957868 | Joseph Alexis Quinones | Anesthesiology | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2012-06-24 |
| 1598031536 | Brittany Quinn Ester | Occupational Therapy Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2012-03-23 |
| 1649571498 | Joseph W Foldessy | Physician Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2010-11-10 |
| 1205008109 | Jason Billinghurst | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2008-03-31 |
| 1104009067 | Ezra A Berkowitz | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-12-13 |
| 1437349248 | Michael Alan Cohn | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-27 |
| 1609075316 | Sue Shin Cohn | Anesthesiology | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-12 |
| 1841346426 | Juan Agudelo-rivera | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| 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 |
|---|---|---|---|---|
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1164963252 | Orthopedic Center of Palm Beach County Inc | Orthopaedic Surgery | 180 Jfk Dr, Suite 110, Atlantis, FL 33462-6641 | 2017-03-09 |
| 1427360049 | Ross G Stone Md Pa | Orthopaedic Surgery | 120 Jfk Dr, Suite 124, Atlantis, FL 33462-6640 | 2010-07-12 |
| 1073767968 | Drs Penner Norris and Routman Pa | Orthopaedic Surgery | 130 Jfk Dr, Ste 201, Atlantis, FL 33462-1141 | 2008-11-05 |
| 1437349248 | Michael Alan Cohn | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-07-27 |
| 1841346426 | Juan Agudelo-rivera | Orthopaedic Surgery | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2007-01-26 |
| 1831124825 | Rommel R Francisco | Orthopaedic Surgery | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2006-07-11 |
| 1083678452 | Marc Francis Matarazzo | Orthopaedic Surgery | 180 Jfk Dr, Atlantis, FL 33462-6641 | 2006-04-13 |
| 1285697094 | Gerard Domenic D'ariano | Orthopaedic Surgery | 180 Jfk Dr, Atlantis, FL 33462-6641 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| 1316577638 | Metro Orthopedic Specialists, LLC | Orthopaedic Surgery | 7300 Sand Lake Cmn Ste 312, Orlando, FL 32819-8050 | 2020-01-26 |
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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.