Provider Demographics
NPI:1720378144
Name:ORTHOPAEDIC ASSOCIATES USA, PA
Entity Type:Organization
Organization Name:ORTHOPAEDIC ASSOCIATES USA, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:BAYLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-476-8800
Mailing Address - Street 1:350 N PINE ISLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1849
Mailing Address - Country:US
Mailing Address - Phone:954-476-8800
Mailing Address - Fax:954-476-1362
Practice Address - Street 1:4765 SW 148TH AVENUE
Practice Address - Street 2:SUITE 401
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-2128
Practice Address - Country:US
Practice Address - Phone:954-707-5070
Practice Address - Fax:954-734-1353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty