THE ORTHOPAEDIC INSTITUTE PA NPI 1629610118

NPI Information

  • NPI: 1629610118
  • Provider Name: THE ORTHOPAEDIC INSTITUTE, PA
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Address: 17270 SE 109TH TERRACE RD
    SUMMERFIELD, FL
    ZIP 34491
  • Phone: (352) 336-6000

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NPI Details

THE ORTHOPAEDIC INSTITUTE, PA is an orthopaedic surgery in Summerfield, FL. The provider is 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. THE ORTHOPAEDIC INSTITUTE, PA NPI is 1629610118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17270 SE 109TH TERRACE RD
SUMMERFIELD, FL
ZIP 34491-015
Phone: (352) 336-6000

The provider's authorized official is Jolie Herren .
The authorized official title is Credentialing Manager and has the following contact phone number (352) 336-6000.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 5/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LP2900XAnesthesiologyPain MedicineNo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
4207XX0005XOrthopaedic SurgerySports MedicineNo
5213ES0103XPodiatristFoot & Ankle SurgeryNo
6207X00000XOrthopaedic SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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