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IVY SPINE & ORTHOPEDICS, LLC
NPI 1215433644
Orthopaedic Surgery in Panama City, FL

Active since April 04, 2018CLIA 10D2151260 · Waiver
742 HARRISON AVE, PANAMA CITY, FL 32401(765) 635-1104 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy Spine & Orthopedics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY SPINE & ORTHOPEDICS, LLC (NPI 1215433644) is a healthcare organization registered as an orthopaedic surgery in Panama City, Florida and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists James C Mcloughlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1215433644
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameIVY SPINE & ORTHOPEDICS, LLC
Location Address742 HARRISON AVEPanama City, FL 32401-2524
Mailing Address742 Harrison AvePanama City, FL 32401-2524 · (850) 628-7679 · Fax (850) 257-8099
Phone(765) 635-1104
Organization SubpartNo
Authorized OfficialJames C McloughlinOwner · (850) 815-7338
Enumeration DateApril 4, 2018
Last NPPES UpdateSeptember 7, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1215433644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME100011
Definition
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.
742 HARRISON AVE, Panama City, FL 32401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2151260

Ivy Spine And Orthopedics · Panama City, FL
Active · expires Jul 16, 2028
CLIA Number10D2151260
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorJames C. Mcloughlin
Laboratory Phone(850) 628-7679
Laboratory LocationIvy Spine And Orthopedics742 Harrison Avenue, Panama City, FL 32401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH FLORIDA SURGEONS, PA
Orthopaedic Surgery
742 HARRISON AVE
PANAMA CITY, FL 32401
Bay County (850) 628-7679
VENUSANNE NEWMAN MSN, APRN, FNP-C
Nurse Practitioner (Family)
742 HARRISON AVE
PANAMA CITY, FL 32401
Bay County (850) 628-7679
NORTH FLORIDA SURGEONS, PA
Orthopaedic Surgery
742 HARRISON AVE
PANAMA CITY, FL 32401
Bay County (850) 628-7679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Spine & Orthopedics, LLC's NPI number?

The NPI number for Ivy Spine & Orthopedics, LLC is 1215433644. It was assigned to this organization in the NPPES registry on April 4, 2018.

Where is Ivy Spine & Orthopedics, LLC located?

Ivy Spine & Orthopedics, LLC is located at 742 Harrison Ave, Panama City, FL 32401. The listed phone number is (765) 635-1104.

What is Ivy Spine & Orthopedics, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Ivy Spine & Orthopedics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2151260) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ivy Spine & Orthopedics, LLC accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Ivy Spine & Orthopedics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Spine & Orthopedics, LLC was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.