IVY SPINE AND ORTHOPEDICS, LLC
NPI 1215534011
Orthopaedic Surgery in Tallahassee, FL

Active since October 05, 2020
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308(850) 628-7679(850) 257-8099 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2021, Aug 25, 2021, Oct 29, 2020 and 1 more (4 updates tracked since 2020).

  • Organization
  • Orthopaedic Surgery

About IVY SPINE AND ORTHOPEDICS, LLC

This page provides the complete NPI Profile along with additional information for Ivy Spine And Orthopedics, Llc, a provider established in Tallahassee, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1215534011 assigned on October 2020. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ivy Spine And Orthopedics, Llc. The authorized official of this NPI record is Jennifer Gates (Practice Manager)

NPI
1215534011 Verify this NPI
Provider Legal Name
IVY SPINE & ORTHOPEDICS, LLC
Other Organization Name
IVY SPINE AND ORTHOPEDICS, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2532 CAPITAL MEDICAL BLVD TALLAHASSEE, FL 32308
Location Phone
(850) 628-7679
Location Fax
(850) 257-8099
Mailing Address
2532 CAPITAL MEDICAL BLVD TALLAHASSEE, FL 32308
Mailing Phone
(850) 628-7679
Mailing Fax
(850) 257-8099
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-05-2020
Last Update Date
09-07-2021
Code Navigator

Location Map

Secondary Locations

  • 742 Harrison Ave
    Panama City, FL 32401
    (850) 628-7679

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER GATES

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(850) 628-7679

Reviews for IVY SPINE AND ORTHOPEDICS, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
2532 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308
Orthopaedic Surgery
2532 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215534011, enumerated as an "organization" on October 05, 2020.

The provider is located at 2532 CAPITAL MEDICAL BLVD TALLAHASSEE, FL 32308 and the phone number is (850) 628-7679.

Orthopaedic Surgery with taxonomy code 207X00000X.