FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC (NPI# 1073850160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073850160 |
| Entity Type | Organization |
| Organization Name | FLORIDA MUSCULOSKELETAL SURGICAL GROUP LLC |
| Other Organization Name | ORTHOCARE FLORIDA |
| Practice Address |
4600 4th St N St Petersburg FL 33703-3802 |
| Practice Telephone | 7275275272 |
| Practice Fax Number | 7275227412 |
| Mailing Telephone | 7275275272 |
| Mailing Fax Number | 7275227412 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | YOLANDA SPENCER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7274564873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 6735700001 | FL | Suppliers |
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE DME PTAN | 6735700001 | 01 |
| FL | 007968900 | 05 | |
| FL | BCBS | 003UZ | 01 |
| Other Name | Type Code |
|---|---|
| ORTHOCARE Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588001127 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 1011 Jeffords St Ste C&d, Clearwater, FL 33756-4070 | 2013-05-22 |
| 1447751706 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 1907 S Alexander St, Plant City, FL 33566-0921 | 2018-02-22 |
| 1851847651 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 10141 Big Bend Rd, Suite 201, Riverview, FL 33578-7419 | 2016-08-31 |
| 1033523428 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 1901 Haverford Ave, Suite 107, Sun City Center, FL 33573-5200 | 2014-06-13 |
| 1043624430 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 721 W Robertson St, Suite 102, Brandon, FL 33511-4900 | 2014-06-13 |
| 1831509199 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 12780 Race Track Rd, Suite 200, Tampa, FL 33626-1397 | 2014-05-07 |
| 1205255759 | Florida Musculoskeletal Surgical Group LLC | Durable Medical Equipment & Medical Supplies | 3890 Tampa Rd, Suite 202, Palm Harbor, FL 34684-3676 | 2014-04-14 |
| Street Address |
4600 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989625 | Glenn S Fuoco | Physical Medicine & Rehabilitation | 4600 4th St N, St Petersburg, FL 33703-3802 | 2005-11-17 |
| 1013540913 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-02-19 |
| 1275164501 | Musculoskeletal Institute Chartered | Clinic/Center | 4600 4th St N, St Petersburg, FL 33703-3802 | 2020-01-27 |
| 1538701131 | Erin Melissa Gordy | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-10-15 |
| 1184282907 | Mark Daicoff | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703-3802 | 2019-06-05 |
| 1790283331 | William Travis Hupp | Physician Assistant | 4600 4th St N, St Petersburg, FL 33703 | 2018-01-29 |
| 1790201507 | Weston Thomas | Orthopaedic Surgery | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-08-15 |
| 1275056244 | Anthony Fittipaldi | Physical Therapist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-21 |
| 1639691991 | Clare Harvey | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2017-07-08 |
| 1255781696 | Jocelyn Doina | Specialist/Technologist | 4600 4th St N, St Petersburg, FL 33703-3802 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| 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 |
|---|---|---|---|---|
| 1174188965 | Truwell Health Pllc | Orthopaedic Surgery | 625 6th Ave S Ste 455, St Petersburg, FL 33701-4637 | 2019-05-07 |
| 1073061107 | Fmsg All Florida Orthopaedic Associates, LLC | Orthopaedic Surgery | 4600 4th St N # 4th, St Petersburg, FL 33703-3802 | 2016-09-19 |
| 1255768339 | Daniel R. Shiffman | Orthopaedic Surgery | 900 Carillon Pkwy Ste 311, St Petersburg, FL 33716-1120 | 2013-10-03 |
| 1194970657 | Gerald Peter Sierchio | Orthopaedic Surgery | 8052 13th Ave S, St Petersburg, FL 33707-2711 | 2008-11-25 |
| 1376705830 | Amun Makani | Orthopaedic Surgery | 6450 38th Ave N Ste 320, St Petersburg, FL 33710-1649 | 2008-06-26 |
| 1487811584 | Conrad D Tamea Jr. | Orthopaedic Surgery | 7226 Williams Dr S, St Petersburg, FL 33705-6158 | 2008-05-18 |
| 1003098641 | Ahmad Nematbakhsh Do LLC | Orthopaedic Surgery | 5800 49th St N Ste 204s, St Petersburg, FL 33709-2100 | 2007-12-05 |
| 1457452732 | Victor Joseph Bilotta | Orthopaedic Surgery | 1301 74th Cir Ne, St Petersburg, FL 33702-4617 | 2006-09-26 |
| 1376643031 | William Jeffrey Rosenblum | Orthopaedic Surgery | 603 7th St S Ste 450, St Petersburg, FL 33701-4741 | 2006-09-23 |
| 1962502963 | Douglas Eugene Carlan | Orthopaedic Surgery | 900 Carillon Parkway, 311, St Petersburg, FL 33716-1120 | 2006-09-22 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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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.