ORTHOSPORTS LLC (NPI# 1831137066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831137066 |
| Entity Type | Organization |
| Organization Name | ORTHOSPORTS LLC |
| Practice Address |
3251 Mcmullen Booth Road Suite 201 Clearwater FL 33761 |
| Practice Telephone | 7277256231 |
| Practice Fax Number | 7277914563 |
| Mailing Telephone | 7277256231 |
| Mailing Fax Number | 7277914563 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | MS. BRIAN C OLIVER (ORTHPEDIC SURGEON) |
| Authorized Official Telephone | 7277256231 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 051214100 | 05 | |
| FL | AVMED | 219099 | 01 |
| FL | AETNA PPO/MC PIN | 7731133 | 01 |
| FL | AETNA HMO PVN | 2374595 | 01 |
| FL | BLUE SHIELD | 10411 | 01 |
| FL | CIGNA | 1688827008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598989402 | Orthosports LLC | Durable Medical Equipment & Medical Supplies | 3251 Mcmullen Booth Rd, Suite 201, Clearwater, FL 33761-2022 | 2007-04-12 |
| Street Address |
3251 MCMULLEN BOOTH ROAD SUITE 201 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| 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 |
|---|---|---|---|---|
| 1356757512 | Michael Venezia | Orthopaedic Surgery | 1011 Jeffords St Bldg D, Clearwater, FL 33756-4070 | 2014-07-09 |
| 1467748533 | Gerard Lee Macdonald | Orthopaedic Surgery | 487 Island Way, Clearwater, FL 33767-2145 | 2011-06-27 |
| 1811126048 | Mitchell Ray Herrema | Orthopaedic Surgery | 1011 Jeffords St Bldg C, Clearwater, FL 33756 | 2009-07-09 |
| 1306041421 | Clearwater Orthopedic & Sports Medicine Inc | Orthopaedic Surgery | 701 N Hercules Ave Ste A, Clearwater, FL 33765-2029 | 2007-06-19 |
| 1649292046 | Andrew Wells Moulton | Orthopaedic Surgery | 2730 N Mcmullen Booth Rd Ste 202, Clearwater, FL 33761-3302 | 2006-07-24 |
| 1851387476 | Ashraf Ahmed Ragab | Orthopaedic Surgery | 1988 Gulf To Bay Blvd, Clearwater, FL 33765-3550 | 2005-09-20 |
| 1497749246 | Howard Louis Schuele | Orthopaedic Surgery | 1011 Jeffords St, Suite C, Clearwater, FL 33756-4070 | 2005-09-08 |
| 1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
| 1790778769 | Ronald G Hayter | Orthopaedic Surgery | 1831 N Belcher Rd Ste E2, E2, Clearwater, FL 33765-1442 | 2005-08-25 |
| 1154954949 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 430 Morton Plant St Ste 301, Clearwater, FL 33756-3395 | 2020-02-20 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on ORTHOSPORTS 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.