CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A. (NPI# 1770953465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770953465 |
| Entity Type | Organization |
| Organization Name | CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A. |
| Practice Address |
875 Military Trl Ste 105 Jupiter FL 33458-5700 |
| Mailing Address |
10131 Forest Hill Blvd Ste 230 Wellington FL 33414-6109 |
| Practice Telephone | 5617986600 |
| Mailing Telephone | 5617986600 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2018-08-17 |
| NPI Deactivation Date | 07/25/2018 |
| NPI Reactivation Date | 2018-08-17 |
| Authorized Official Name | HARVEY MONTIJO (PRESIDENT) |
| Authorized Official Telephone | 5618038616 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTER FOR BONE & JOINT SURGERY OF THE PALM BEACHES, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467943787 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 582 Nw University Blvd Ste 100, Port St Lucie, FL 34986-2264 | 2018-05-22 |
| 1821521600 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 11211 Prosperity Farms Rd Ste D127, Palm Beach Gardens, FL 33410-3449 | 2017-04-07 |
| 1881064574 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 460 N State Road 7, Royal Palm Beach, FL 33411-3514 | 2015-10-07 |
| 1336519479 | Center for Bone & Joint Surgery of The Palm Beaches, P.a. | Orthopaedic Surgery | 1100 S Main St Ste 101, Belle Glade, FL 33430-4910 | 2015-10-01 |
| Street Address |
875 MILITARY TRL STE 105 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004303 | Laurie Wheeler | Nurse Practitioner | 875 Military Trl Ste 105, Jupiter, FL 33458-5700 | 2020-05-16 |
| 1508354861 | Diego Jose Lopes De Lima | Orthopaedic Surgery | 875 Military Trl Ste 105, Jupiter, FL 33458-5700 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| 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 |
|---|---|---|---|---|
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1477884047 | Newfield Orthopedics P.a. | Orthopaedic Surgery | 140 Jupiter Lakes Blvd, Jupiter, FL 33458-7180 | 2010-01-21 |
| 1801129622 | Cathy B Thomson | Orthopaedic Surgery | 12288 165th Rd N, Jupiter, FL 33478-6064 | 2009-09-11 |
| 1467625756 | Wade Clark Vansice | Orthopaedic Surgery | 2055 Military Trl Ste 204, Jupiter, FL 33458-7830 | 2008-04-08 |
| 1871613588 | Bernard Joseph Amster | Orthopaedic Surgery | 156 Waters Edge Dr, Jupiter, FL 33477-4031 | 2007-03-29 |
| 1326065012 | Vincent A Fowble | Orthopaedic Surgery | 2055 Military Trl Ste 200, Jupiter, FL 33458-7830 | 2006-07-17 |
| 1467456277 | Jeffrey F. Linder, Md Pa | Orthopaedic Surgery | 4285 E Main St, Jupiter, FL 33458-5314 | 2005-06-09 |
| 1912370321 | Optimal Wellness & Longevity Institute, LLC | Orthopaedic Surgery | 875 Military Trl, Suite 105, Jupiter, FL 33458-5700 | 2015-11-06 |
| 1558533570 | Gary M Mcclain Md Pa | Orthopaedic Surgery | 2055 Military Trl Ste 303, Jupiter, FL 33458-7830 | 2008-03-31 |
| 1861693236 | Veronica Asela Diaz | Orthopaedic Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2007-05-31 |
| Find all providers in JUPITER | ||||
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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.