Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TALLAHASSEE ORTHOPEDIC CLINIC III PL
Complete NPI Record 1194778050
Clinic/Center - Medical Specialty in Tallahassee, FL

Name: Complete NPI 1194778050 Record Table
Creator: NPI Profile
License: https://www.cms.gov/data-research/cms-data/data-available-everyone

Active since May 19, 2006

3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308(850) 877-8174(844) 261-6839 Get Directions

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Dec 2, 2025, Jul 9, 2025 and 9 more (12 updates tracked since 2023).

Complete NPI Dataset

This page contains the complete raw NPPES record for Tallahassee Orthopedic Clinic Iii Pl (NPI 1194778050), a clinic/center organization in Tallahassee, FL. All 70 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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Registry File Document Utilities

NPI: 1194778050: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available: The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: TALLAHASSEE ORTHOPEDIC CLINIC III PL: The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: Not available: Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 6: Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 3334 CAPITAL MEDICAL BLVD STE 400: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: TALLAHASSEE: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: FL: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 323084470: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 8508778174: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 8508775636: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 3334 CAPITAL MEDICAL BLVD STE 400: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: TALLAHASSEE: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: FL: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 323084470: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8508778174: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8442616839: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 5/19/2006: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/17/2026: The date that a record was last updated or changed.
Authorized Official Last Name: BUTLER: The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: MELISSA: The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR OF MANAGED CARE: The title or position of the authorized official.
Authorized Official Telephone Number: 8139789700: The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 103G00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 335E00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 2: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 261QR0200X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 3: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 208VP0014X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 4: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 5: 261QP2000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 5: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 6: 3336C0002X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 6: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 7: 261QM2500X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 7: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier 1: 251006501: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 1: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 1: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 2: 251006509: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 2: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 2: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 3: 251006502: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 3: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 3: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 4: 251006503: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 4: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 4: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 5: 251006500: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 5: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 5: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 6: 251006512: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 6: 05: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 6: FL: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier 7: CG1216: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 7: 01: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 7: GA: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier Issuer 7: RAILROAD MEDICARE #: The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
Other Provider Identifier 8: CG3489: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 8: 01: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 8: GA: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier Issuer 8: RAILROAD MEDICARE: The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
Is Organization Subpart: N: Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 6/17/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Other Organization Names 1

Additional business and trade names this provider has on file with the NPPES registry.

Tallahassee Orthopedic Clinic Doing Business As

1/1

Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.

Secondary Practice Locations 56

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

991 E Del Webb Blvd

1/56

Sun City Center, FL 33573-6669 · Phone (813) 978-9700

3635 Clyde Morris Blvd Ste 600

2/56

Port Orange, FL 32129-2353 · Phone (813) 978-9700

617 Canal St Ste 110

3/56

New Smyrna Beach, FL 32168-6901 · Phone (813) 978-9700

3890 Tampa Rd Ste 303

4/56

Palm Harbor, FL 34684-3677 · Phone (727) 787-5577

3618 Madaca Ln

5/56

Tampa, FL 33618-2057 · Phone (813) 978-9700

8839 Bryan Dairy Rd Ste 240A

6/56

Largo, FL 33777-1203 · Phone (727) 461-6026

1337 S International Pkwy Ste 1341

7/56

Lake Mary, FL 32746-1402 · Phone (813) 978-9700

1565 Saxon Blvd Ste 301

8/56

Deltona, FL 32725-5836 · Phone (407) 841-2100

7540 W University Ave

9/56

Gainesville, FL 32607-7609 · Phone (813) 978-9700

2044 Trinity Oaks Blvd Ste 110

10/56

Trinity, FL 34655-4405 · Phone (727) 461-6026

2011 Harrison Ave

11/56

Panama City, FL 32405-4545 · Phone (850) 691-4188

113 W Hansell St

12/56

Thomasville, GA 31792-6664 · Phone (229) 226-3060

925 Carlisle Rd

13/56

Chipley, FL 32428-4360 · Phone (850) 526-3236

1002 N Arnold Rd

14/56

Panama City Beach, FL 32413-2523 · Phone (813) 978-9700

3131 N McMullen Booth Rd Ste 100

15/56

Clearwater, FL 33761-2008 · Phone (727) 787-5577

740 W Plymouth Ave

16/56

Deland, FL 32720-3282 · Phone (813) 978-9700

603 7th St S Ste 450

17/56

St Petersburg, FL 33701-4741 · Phone (727) 527-5272

1053 Medical Center Dr Ste 101

18/56

Orange City, FL 32763-8259 · Phone (813) 978-9700

6748 Gall Blvd

19/56

Zephyrhills, FL 33542-2545 · Phone (813) 896-2338

4725 US Highway 98 S Ste 101-102

20/56

Lakeland, FL 33812-4334 · Phone (863) 328-5410

2653 Bruce B Downs Blvd Ste 201

21/56

Wesley Chapel, FL 33544-9206 · Phone (813) 978-9700

17907 Aprile Dr Ste 125

22/56

Land O Lakes, FL 34638-4919 · Phone (813) 978-9700

8839 Bryan Dairy Rd Ste 240B

23/56

Largo, FL 33777-1203 · Phone (813) 978-9700

801 N Orange Ave Ste 600B

24/56

Orlando, FL 32801-5202 · Phone (407) 841-2100

1011 Jeffords St Bldg B

25/56

Clearwater, FL 33756-4070 · Phone (727) 446-4477

36413 US Highway 19 N

26/56

Palm Harbor, FL 34684-1329 · Phone (813) 978-9700

11286 Boyette Rd Ste 101

27/56

Riverview, FL 33569-8022 · Phone (813) 978-9700

7525 NW 4th Blvd Ste 90

28/56

Gainesville, FL 32607-1846 · Phone (352) 744-7868

206 W Oak St Ste A

29/56

Kissimmee, FL 34741-4448 · Phone (407) 841-2100

4600 4th St N

30/56

St Petersburg, FL 33703-3802 · Phone (727) 527-5272

560 S Lakewood Dr Ste 101

31/56

Brandon, FL 33511-5015 · Phone (813) 978-9700

5016 W Cypress St Ste 210

32/56

Tampa, FL 33607-3809 · Phone (813) 978-9700

1011 Jeffords St Bldg D

33/56

Clearwater, FL 33756-4070 · Phone (727) 449-2599

430 Morton Plant St Ste 206

34/56

Clearwater, FL 33756-3396 · Phone (727) 298-5230

1155 5th St SE

35/56

Cairo, GA 39828-3142 · Phone (229) 226-3060

430 Morton Plant St Ste 301

36/56

Clearwater, FL 33756-3395 · Phone (727) 461-6026

909 N Dale Mabry Hwy

37/56

Tampa, FL 33609-1251 · Phone (813) 978-9700

5243 Hanff Ln

38/56

New Port Richey, FL 34652-4226 · Phone (727) 781-7757

2414 Enterprise Rd

39/56

Clearwater, FL 33763-1751 · Phone (727) 461-6026

603 Wheat Ave Ste 800

40/56

Bainbridge, GA 39819-4367 · Phone (229) 246-3608

2118 SW 20th Pl Ste 102

41/56

Ocala, FL 34471-0869 · Phone (813) 978-9700

3051 6th St

42/56

Marianna, FL 32446-1933 · Phone (850) 526-3236

2605 Welaunee Blvd

43/56

Tallahassee, FL 32308-4697 · Phone (850) 877-8174

1376 Brickyard Rd Ste 4

44/56

Chipley, FL 32428-6392 · Phone (850) 526-3236

803 W Main St

45/56

Perry, FL 32347-2612 · Phone (850) 584-7078

2118 SW 20th Pl Ste 101

46/56

Ocala, FL 34471-0869 · Phone (813) 978-9700

9320 US Highway 301 S Ste 160

47/56

Riverview, FL 33578-6300 · Phone (813) 978-9700

5901 E Fowler Ave Ste 100

48/56

Temple Terrace, FL 33617-2305 · Phone (813) 978-9700

224 NW Crane Ave

49/56

Madison, FL 32340-1400 · Phone (850) 877-8174 · Fax (844) 261-6839

801 N Orange Ave Ste 600

50/56

Orlando, FL 32801-5202 · Phone (407) 841-2100

721 W Robertson St Ste 102

51/56

Brandon, FL 33511-4900 · Phone (813) 684-3707

6117 Gunn Hwy

52/56

Tampa, FL 33625-4013 · Phone (813) 978-9700

1615 Pasadena Ave S Ste 150

53/56

South Pasadena, FL 33707-4517 · Phone (727) 527-5272

4423 Central Ave

54/56

St Petersburg, FL 33713-8232 · Phone (727) 321-4040

1586 Bloomingdale Ave

55/56

Valrico, FL 33596-6101 · Phone (813) 978-9700

1011 Jeffords St Bldg C

56/56

Clearwater, FL 33756-4070 · Phone (727) 446-5993