OPTIM ORTHOPEDICS LLC (NPI# 1376042796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376042796 |
| Entity Type | Organization |
| Organization Name | OPTIM ORTHOPEDICS LLC |
| Practice Address |
121 N Crest Blvd Macon GA 31210-1845 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 4788419333 |
| Practice Fax Number | 9126445241 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445241 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | MIKE BUTLER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIM ORTHOPEDICS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437601598 | Optim Orthopedics LLC | Orthopaedic Surgery | 460 Mall Blvd Ste B, Savannah, GA 31406-4801 | 2016-10-25 |
| 1285134676 | Optim Orthopedics LLC | Orthopaedic Surgery | 120 Gordon St, Washington, GA 30673-1602 | 2018-02-13 |
| 1467992362 | Optim Orthopedics LLC | Physical Medicine & Rehabilitation | 821 S Main St, Suite C, Baxley, GA 31513-0164 | 2017-02-27 |
| 1558800979 | Optim Orthopedics LLC | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2017-02-17 |
| Street Address |
121 N CREST BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821042946 | Kevin Lee Stevenson | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2006-05-22 |
| 1750890562 | Tattnall Hospital Company LLC | Neurological Surgery | 121 N Crest Blvd, Macon, GA 31210-1845 | 2017-09-25 |
| 1720477409 | Lauren Price | Nurse Practitioner | 121 N Crest Blvd, Macon, GA 31210-1845 | 2015-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1467904433 | Ortho Sport & Spine Physicians Macon | Orthopaedic Surgery | 4601 Arkwright Rd, Macon, GA 31210-1303 | 2016-10-26 |
| 1770998221 | William Neisler Melton | Orthopaedic Surgery | 100 N Macon St, Macon, GA 31210-6563 | 2014-06-24 |
| 1326262312 | Jarrod Edward Dumpe | Orthopaedic Surgery | 840 Pine St Ste 500, Macon, GA 31201-7530 | 2007-04-12 |
| 1710900162 | Winston R. Jeshuran | Orthopaedic Surgery | 310 Hospital Dr Ste 210, Macon, GA 31217-8026 | 2006-07-26 |
| 1164462107 | Stephen N Barnes | Orthopaedic Surgery | 4664 Riverside Park Blvd, Macon, GA 31210-1397 | 2006-06-07 |
| 1922559681 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2016-10-18 |
| 1740736024 | Mercer University | Orthopaedic Surgery | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2016-08-28 |
| 1720532286 | Macon Orthopaedic & Hand Center Pa | Orthopaedic Surgery | 1600 Forsyth St, Macon, GA 31201-1408 | 2016-08-12 |
| 1205213592 | Peter Bishara | Orthopaedic Surgery | 840 Pine St Ste 500, Macon, GA 31201-7530 | 2015-05-06 |
| 1770990137 | Macon Orthopaedic & Hand Center, Pa | Orthopaedic Surgery | 3708 Northside Dr, Macon, GA 31210-2404 | 2014-07-17 |
| Find all providers in MACON | ||||
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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.