TALLAHASSEE ORTHOPEDIC CLINIC III PL (NPI# 1194778050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194778050 |
| Entity Type | Organization |
| Organization Name | TALLAHASSEE ORTHOPEDIC CLINIC III PL |
| Other Organization Name | TALLAHASSEE ORTHOPEDIC CLINIC |
| Practice Address |
3334 Capital Medical Blvd Ste 400 Tallahassee FL 32308-4470 |
| Practice Telephone | 8508778174 |
| Practice Fax Number | 8508775636 |
| Mailing Telephone | 8508778174 |
| Mailing Fax Number | 8508775636 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | LORI JEAN CARTER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8502191925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE # | CG1216 | 01 |
| FL | 251006502 | 05 | |
| FL | 251006501 | 05 | |
| GA | RAILROAD MEDICARE | CG3489 | 01 |
| FL | 251006500 | 05 |
| Other Name | Type Code |
|---|---|
| Tallahassee Orthopedic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093907495 | Tallahassee Orthopedic Clinic IIi Pl | Prosthetic/Orthotic Supplier | 1401 Centerville Rd Ste 710, Tallahassee, FL 32308-4641 | 2007-08-10 |
| 1902034317 | Tallahassee Orthopedic Clinic IIi Pl | Durable Medical Equipment & Medical Supplies | 235 Sw Dade St, Suite 1, Madison, FL 32340-2363 | 2009-06-24 |
| 1558553982 | Tallahassee Orthopedic Clinic IIi Pl | Prosthetic/Orthotic Supplier | 603 Wheat Ave, Ste. 800, Bainbridge, GA 39819-4360 | 2007-08-09 |
| 1174715502 | Tallahassee Orthopedic Clinic IIi Pl | Prosthetic/Orthotic Supplier | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 2007-08-09 |
| 1932391364 | Tallahassee Orthopedic Clinic IIi Pl | Prosthetic/Orthotic Supplier | 3051 6th St, Marianna, FL 32446-1933 | 2007-08-09 |
| Street Address |
3334 CAPITAL MEDICAL BLVD STE 400 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970589 | David Christian Berg | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| 1932731684 | Shane Thomas Stockelman | Internal Medicine | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-11 |
| 1750913794 | Stephen C Mchargue | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2020-02-07 |
| 1639642572 | Ross Scavo | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308-8405 | 2019-01-03 |
| 1659887891 | Jennifer Baxter | Specialist/Technologist | 3334 Capital Medical Blvd, Tallahassee, FL 32308 | 2017-12-26 |
| 1730503798 | Keshia Arrington | Specialist/Technologist | 3334 Capital Medical Blvd, Suite 100, Tallahassee, FL 32308-8405 | 2014-02-11 |
| 1447682687 | Eric D Bernstein | Physical Therapy Assistant | 3334 Capital Medical Blvd, 300, Tallahassee, FL 32308-8405 | 2013-07-30 |
| 1356681050 | Megan C Milton | Nurse Practitioner | 3334 Capital Medical Blvd, Ste 400, Tallahassee, FL 32308-8405 | 2013-02-18 |
| 1235413949 | Jared Ryan Johnson | Physician Assistant | 3334 Capital Medical Blvd, Suite 400, Tallahassee, FL 32308-8405 | 2011-09-30 |
| 1821379124 | Lauren K Snider | Physical Therapist | 3334 Capital Medical Blvd, Suite 300, Tallahassee, FL 32308-8405 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
| 1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
| 1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on TALLAHASSEE ORTHOPEDIC CLINIC III PL.
| 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.