SOUTH PALM ORTHOSPINE INSTITUTE (NPI# 1730375346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730375346 |
| Entity Type | Organization |
| Organization Name | SOUTH PALM ORTHOSPINE INSTITUTE |
| Practice Address |
8198 Jog Rd Suite 100 Boynton Beach FL 33472-2998 |
| Mailing Address |
8198 Jog Rd #100 Boynton Beach FL 33472-2998 |
| Practice Telephone | 5617425959 |
| Practice Fax Number | 5617342226 |
| Mailing Telephone | 5617425959 |
| Mailing Fax Number | 5617342226 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-11-13 |
| Authorized Official Name | STEWART G EIDELSON (OWNER) |
| Authorized Official Telephone | 5617425959 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
ME55593 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1730375346 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639364912 | South Palm Orthospine Institute | Orthopaedic Surgery | 2900 N Military Trl, #241, Boca Raton, FL 33431-6365 | 2007-09-11 |
| 1598893885 | South Palm Orthospine Institute | Orthopaedic Surgery | 15300 Jog Rd, Suite 107-108, Delray Beach, FL 33446-2164 | 2007-03-01 |
| Street Address |
8198 JOG RD SUITE 100 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33472-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902112717 | The Neuroforensic Institute and Therapeutic Services Inc. | Clinical Neuropsychologist | 8198 Jog Rd, Suite 201, Boynton Beach, FL 33472-2900 | 2010-08-31 |
| 1164733036 | Garone Med Supplies, Inc | Chiropractor | 8198 Jog Rd, Suite 100, Boynton Beach, FL 33472-2900 | 2010-06-25 |
| 1841512837 | Medical Center for Children, P.a. | Pediatrics | 8198 Jog Rd, Suite 102b, Boynton Beach, FL 33472-2900 | 2010-02-18 |
| 1629214622 | Garone Chiropractic Centers Inc | Chiropractor | 8198 Jog Rd, Suite 100, Boynton Beach, FL 33472-2900 | 2008-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288985 | Boynton Beach Modern Dentistry, Pa | Dentist | 8773 Boynton Beach Blvd., Suite 520, Boynton Beach, FL 33472 | 2019-04-09 |
| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1447769740 | Jillian Lepera | Counselor | 8200 S Jog Rd Ste 101, Boynton Beach, FL 33472 | 2017-09-29 |
| 1467988253 | Susel Maria Perez Ojeda | Dentist | 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 | 2017-05-11 |
| 1770019887 | Lyn Lewis | Developmental Therapist | 8308 Waterline Dr 105, Boyton Beach, FL 33472 | 2017-05-10 |
| 1821466715 | Advanced Cancer Surgery and Digestive Health LLC | Surgery | 9868 S. State Road 7, Suite 300, Boynton Beach, FL 33472 | 2015-09-09 |
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1679981450 | Mandi Franklin | Nurse Practitioner | 9868 Fl-7 #305, Boynton Beach, FL 33472 | 2014-07-24 |
| 1962825943 | June Ladner, LLC | Homemaker | 8022 Bellafiore Way, Boynton Beach, FL 33472 | 2014-01-28 |
| 1710323910 | Eena Comprehensive Neurology & Sleep Center Inc | Psychiatry & Neurology | 9868 South State Road 7, Boyton Beach, FL 33472 | 2013-05-14 |
| Find all providers in zip 33472 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194383638 | Ortho Florida, LLC | Orthopaedic Surgery | 8190 S Jog Rd Ste 101, Boynton Beach, FL 33472-2911 | 2019-05-30 |
| 1447857834 | Ortho Florida, LLC | Orthopaedic Surgery | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2020-10-08 |
| 1215165436 | Job Dorcil Md Pa | Orthopaedic Surgery | 1325 S Congress Ave, Suite #114, Boynton Beach, FL 33426-5876 | 2009-06-25 |
| 1942236609 | Matthew Hepler | Orthopaedic Surgery | 2828 S Seacrest Blvd, Suite 216, Boynton Beach, FL 33435-7944 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293215 | Citrus Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave Ste 9f, Orange Park, FL 32073-4579 | 2019-09-04 |
| 1821571175 | Orthopedic Spine Solutions Corp | Orthopaedic Surgery | 3852 Sheridan St, Hollywood, FL 33021-3634 | 2018-09-12 |
| 1194223461 | Select Health of Fl, LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760a, Miami, FL 33131-1815 | 2018-01-31 |
| 1568960839 | Spine Cin of Jacksonville LLC | Orthopaedic Surgery | 1301 Riverplace Blvd Ste 800a, Jacksonville, FL 32207-9047 | 2018-01-31 |
| 1912405283 | Spine Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301a, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1386142644 | Joint Replacement Cin of Naples LLC | Orthopaedic Surgery | 8831 Business Park Dr Ste 301b, Fort Myers, FL 33912-2510 | 2018-01-31 |
| 1366940140 | Joint Replacement Cin of Orlando LLC | Orthopaedic Surgery | 5401 S Kirkman Rd Ste 310b, Orlando, FL 32819-7940 | 2018-01-26 |
| 1811495690 | Joint Replacement Cin of Miami LLC | Orthopaedic Surgery | 2 S Biscayne Blvd Ste 3760b, Miami, FL 33131-1815 | 2018-01-26 |
| 1689182362 | Fss Keys LLC | Orthopaedic Surgery | 1111 12th St Ste 108, Key West, FL 33040-4087 | 2018-01-17 |
| 1275041147 | Spine Cin of West Palm LLC | Orthopaedic Surgery | 4440 Pga Blvd # 600a, Palm Beach Gardens, FL 33410-6539 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
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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.