ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA (NPI# 1275020414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275020414 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC MEDICAL GROUP OF TAMPA BAY PA |
| Practice Address |
10740 Palm River Rd Ste 310 Tampa FL 33619-4577 |
| Mailing Address |
615 Vonderburg Dr Brandon FL 33511-5972 |
| Practice Telephone | 8136842663 |
| Practice Fax Number | 8136541619 |
| Mailing Telephone | 8136842663 |
| Mailing Fax Number | 8136541619 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2019-11-18 |
| Authorized Official Name | DR. SCOTT GOLDSMITH (PRESIDENT) |
| Authorized Official Telephone | 8135340102 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374193100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951614 | Orthopaedic Medical Group of Tampa Bay Pa | Physical Medicine & Rehabilitation | 2441 Oak Myrtle Ln Ste 103, Wesley Chapel, FL 33544-6334 | 2020-01-23 |
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1225414469 | Orthopaedic Medical Group of Tampa Bay Pa | Orthopaedic Surgery | 100 Avenue I Ne, Winter Haven, FL 33881-4143 | 2015-08-10 |
| 1760979140 | Orthopaedic Medical Group of Tampa Bay Pa | Orthopaedic Surgery | 10740 Palm River Rd Ste 310, Tampa, FL 33619-4577 | 2018-04-20 |
| 1326424565 | Orthopaedic Medical Group of Tampa Bay Pa | Orthopaedic Surgery | 6901 Simmons Loop, Suite 201, Riverview, FL 33578-9498 | 2015-08-10 |
| 1285010520 | Orthopaedic Medical Group of Tampa Bay Pa | Orthopaedic Surgery | 420 N Plant Ave, Plant City, FL 33563-7248 | 2015-08-10 |
| 1740407121 | Orthopaedic Medical Group of Tampa Bay Pa | Physical Medicine & Rehabilitation | 615 Vonderburg Dr, Brandon, FL 33511-5972 | 2007-04-19 |
| Street Address |
10740 PALM RIVER RD STE 310 |
| City | TAMPA |
| State | FL |
| Zip Code | 33619-4577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952552 | Ryan Burke | Physical Therapist | 10740 Palm River Rd Ste 310, Tampa, FL 33619-4577 | 2017-06-18 |
| 1760979140 | Orthopaedic Medical Group of Tampa Bay Pa | Orthopaedic Surgery | 10740 Palm River Rd Ste 310, Tampa, FL 33619-4577 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706787 | Nuevo Amanecer Tampa, LLC | Assisted Living Facility | 7405 Aripeka Dr, Tampa, FL 33619 | 2017-08-22 |
| 1144742396 | Florida Family Primary Care Centers of Tampa, LLC | Pediatrics | 7444 Palm River Dr, Tampa, FL 33619 | 2017-07-10 |
| 1750817110 | Ajaa Love Care Services | Home Health | 8905 Tidewater Trail, Tampa, FL 33619 | 2017-05-04 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| 1598116741 | Austin Chase | Chiropractor | 10081 E Adamo Dr, Tampa, FL 33619 | 2016-06-29 |
| 1841667003 | Healthworks Med Group of Florida Pa | General Practice | 9527 Delaney Creek Blvd, Tampa, FL 33619 | 2015-08-24 |
| 1962883371 | A Plus Alliance Home Care Agency, LLC | Home Health | 1503 South Hwy 301 Suite 13, Tampa, FL 33619 | 2015-06-11 |
| 1285026377 | Fatty Ademola Aderoju | Pharmacist | 5701 Hillsborough Ave, Tampa, FL 33619 | 2015-02-26 |
| 1942692504 | Henry Fate Corporation | Home Health | 9325 Bay Plaza Blvd, Suite 205, Tampa, FL 33619 | 2015-02-19 |
| 1598189938 | Willie Ruth Miller | Custodial Care Facility | 4812 S. 86th St, Tampa, FL 33619 | 2014-02-05 |
| Find all providers in zip 33619 | ||||
| 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 |
|---|---|---|---|---|
| 1497239743 | Orthopedic Assoc of Tampa Bay LLC | Orthopaedic Surgery | 4505 N. Armenia Ave, Suite 102, Tampa, FL 33603-2746 | 2018-09-23 |
| 1417451873 | Tampa Bay Orthopedic Surgery Group | Orthopaedic Surgery | 1100 W Kennedy Blvd, Tampa, FL 33606-1966 | 2018-03-21 |
| 1407212293 | Vincent Michael Tedone | Orthopaedic Surgery | 11303 Carrollwood Dr, Tampa, FL 33618-3703 | 2016-01-08 |
| 1316360456 | David Mayhew | Orthopaedic Surgery | 13739 Chestersall Dr, Tampa, FL 33624-6944 | 2014-01-24 |
| 1285976654 | Sean Michael Lannon | Orthopaedic Surgery | 14547 Bruce B Downs Blvd Ste C, Tampa, FL 33613-2709 | 2013-03-22 |
| 1538420864 | Lutz Heinz Schlicke | Orthopaedic Surgery | 582 Riviera Dr, Tampa, FL 33606 | 2012-06-04 |
| 1417251034 | Steven Knezevich, M.d., P.a. | Orthopaedic Surgery | 3820 Northdale Blvd., Suite 105a, Tampa, FL 33624-1834 | 2010-12-23 |
| 1538322383 | Shaun Michael Felcher | Orthopaedic Surgery | 3250 Zemke Ave # 1078, Tampa, FL 33621-5023 | 2008-07-02 |
| 1376743252 | Gene Jason Hunt | Orthopaedic Surgery | 4450 E Fletcher Ave Ste C, Tampa, FL 33613-4907 | 2007-07-19 |
| 1497887111 | Frank Kenneth Kriz Jr. | Orthopaedic Surgery | 800 W Dr M L King Blvd, Suite 1, Tampa, FL 33603 | 2007-03-09 |
| Find all providers in TAMPA | ||||
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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.