CLAY VANDENBERG OTA
NPI 1679065411
Orthopaedic Surgery in Saint Augustine, FL

Active since June 06, 2018
1 ORTHOPAEDIC PL, SAINT AUGUSTINE, FL 32086(904) 825-0540 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clay Vandenberg Ota NPPES

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

CLAY VANDENBERG OTA (NPI 1679065411) is an individual orthopaedic surgery provider in Saint Augustine, Florida, licensed in Florida (1770020919) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1679065411
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCLAY VANDENBERGCredential: OTA
Location Address1 ORTHOPAEDIC PLSaint Augustine, FL 32086-4202
Mailing Address1756 S Clyde Morris Blvd Apt 1008Daytona Beach, FL 32119-9035 · (973) 800-4220
Sole ProprietorYes
Enumeration DateJune 6, 2018
NPI 1679065411 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 · 1770020919
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.
1 ORTHOPAEDIC PL, Saint Augustine, FL 32086

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

Other Providers at the Same Location NPPES 20

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

Physical Therapist
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Physical Therapist (Orthopedic)
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Nurse Practitioner (Family)
1 ORTHOPAEDIC PL
SAINT AUGUSTINE, FL 32086
Radiology (Diagnostic Radiology)
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Occupational Therapist (Hand)
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Physician Assistant (Surgical)
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Physical Therapist
1 ORTHOPAEDIC PL
ST AUGUSTINE, FL 32086
Clinic/Center (Radiology)
1 ORTHOPAEDIC PL
SAINT AUGUSTINE, FL 32086

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 Clay Vandenberg's NPI number?

The NPI number for Clay Vandenberg is 1679065411. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Clay Vandenberg located?

Clay Vandenberg practices at 1 Orthopaedic Pl, Saint Augustine, FL 32086. The listed phone number is (904) 825-0540.

What is Clay Vandenberg's specialty?

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

When was this NPI record last updated?

The NPPES record for Clay Vandenberg was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.