Orthopaedic Clinic of Daytona Beach Pa is a Orthopaedic Surgery Physician (organization) practicing in Daytona Beach, Florida. The National Provider Identifier (NPI) is #1558340240, which was assigned on January 11, 2006, and the registration record was last updated on August 5, 2025. The practitioner's main practice location is at 1865 Lpga Blvd, Daytona Beach, FL 32117-7108; the contact telephone number is 3862554596, and the fax number is 3862583561. The primary taxonomy of Orthopaedic Clinic of Daytona Beach Pa is Orthopaedic Surgery Physician (207X00000X). The authorized official for Orthopaedic Clinic of Daytona Beach Pa is Albert W. Gillespy (President). Orthopaedic Clinic of Daytona Beach Pa is licensed to practice in the state of Florida.
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.
| NPI | 1558340240 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Provider Name | ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA |
| Practice Address |
1865 Lpga Blvd Daytona Beach FL 32117-7108 |
| Practice Telephone | 3862554596 |
| Practice Fax Number | 3862583561 |
| Mailing Address |
1865 Lpga Blvd Daytona Beach FL 32117-7108 |
| Mailing Telephone | 3862554596 |
| Mailing Fax Number | 3862583561 |
| Certification Date | 2025-08-05 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2025-08-05 |
| Is Organization Subpart | N |
| Official Name | ALBERT W. GILLESPY |
| Official Title | PRESIDENT |
| Credential | MD |
| Telephone | 3862554596 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 193200000X MULTI-SPECIALTY GROUP | FL |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 036096104 | FL | MEDICAID | |
| 036096105 | FL | MEDICAID | |
| 104741300 | FL | MEDICAID | |
| 106515900 | FL | MEDICAID | |
| 036096101 | FL | MEDICAID | |
| 036096100 | FL | MEDICAID | |
| 105512000 | FL | MEDICAID | |
| 105512600 | FL | MEDICAID | |
| 036096103 | FL | MEDICAID | |
| 036096102 | FL | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 1075 Mason Ave, Daytona Beach, FL 321174611 | 3862554596 | 3862583561 |
| 1165 Dunlawton Ave Ste 102, Port Orange, FL 321272924 | 3862554596 | 3862583561 |
| 1175 Dunlawton Ave Ste 1, Port Orange, FL 321274741 | 3862554596 | 3862583561 |
| 17 Old Kings Rd N Ste K, Palm Coast, FL 321378283 | 3862554596 | 3862583561 |
| 1865 Lpga Blvd, Daytona Beach, FL 321177108 | 3862554596 | 3862583561 |
| 1890 Lpga Blvd Ste 240, Daytona Beach, FL 321177131 | 3862554596 | 3862583561 |
| Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| Classification | Orthopaedic Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ny Medical Professional PC | 11524a Myrtle Ave, Richmond Hill, NY 11418-1719 | Orthopaedic Surgery Physician | 2026-03-27 |
| Jacob Ayers | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | Orthopaedic Surgery Physician | 2026-04-10 |
| North Florida Surgeons, Pa | 1021 Us Hwy 331, Unit 7-9, Defuniak Springs, FL 32435 | Orthopaedic Surgery Physician | 2026-04-06 |
| Northwestern Medical Faculty Foundation | 21202 Owens Rd Fl 3, Mokena, IL 60448-2024 | Orthopaedic Surgery Physician | 2026-04-02 |
| Tennessee Orthopaedic Alliance Pa | 2100 Church St Ste 100, Nashville, TN 37203-8052 | Orthopaedic Surgery Physician | 2026-03-26 |
| Northwestern Medical Faculty Foundation | 15300 West Ave Ste 100, Orland Park, IL 60462-4600 | Orthopaedic Surgery Physician | 2026-04-02 |
| Tennessee Orthopaedic Alliance Pa | 2100 Church St Ste 300, Nashville, TN 37203-8056 | Orthopaedic Surgery Physician | 2026-03-26 |
| Coquille Valley Health | 790 E 5th St Ste A, Coquille, OR 97423-1755 | Orthopaedic Surgery Physician | 2026-03-25 |
| Med Injury LLC | 2089 Teron Trce Ste 160, Dacula, GA 30019-1613 | Orthopaedic Surgery Physician | 2026-04-08 |
| Healthone Clinic Services - Orthopedic Specialists LLC | 799 E Hampden Ave Ste 400a, Englewood, CO 80113-2766 | Orthopaedic Surgery Physician | 2026-03-25 |
| Find all providers with the same taxonomy | |||
| Street Address |
1865 LPGA BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-7108 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Marcus Magidow | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Family Nurse Practitioner | 2022-06-18 |
| Alex D. Mclean | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Physical Therapist | 2025-09-05 |
| Mia Garcia | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Physical Therapist | 2025-11-14 |
| Trevon Hodge | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Physician Assistant | 2025-03-15 |
| Ayonna Andrews | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Occupational Therapist | 2025-11-03 |
| Shaun Porter | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Physical Therapist | 2024-11-11 |
| Wassi Shaikh | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Interventional Pain Medicine Physician | 2017-03-21 |
| Joseph R Locker III | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Orthopaedic Surgery Physician | 2005-12-08 |
| Grant Wallace | 1865 Lpga Blvd, Daytona Beach, FL 32117-7108 | Physical Therapist | 2025-11-06 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Volusia Orthopaedic Trauma Call Associates LLC | 1871 Lpga Blvd, Daytona Beach, FL 32117-7108 | Ambulatory Surgical Clinic/Center | 2016-09-14 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| A Masterful Win PLLC | 728 N Flamingo Dr, Daytona Beach, FL 32117-3332 | Psychiatric/Mental Health Nurse Practitioner | 2025-10-02 |
| Laurie J Deerfield · Laurie J Peterson-Deerfield | 241 Riverside Dr, Unit 1907, Holly Hill, FL 32117 | Psychiatry Physician | 2005-08-12 |
| Atlas Aba | 1621 Espanola Ave, Holly Hill, FL 32117-1745 | Behavioral Analyst | 2025-04-07 |
| Tashena Beckford-Ng | 1963 Charleston House Way Apt 4306, Holly Hill, FL 32117-2588 | Home Health Agency | 2026-02-03 |
| Henri Habib Nammour | 2381 Mason Ave Suite 100, Daytona Beach, FL 32117 | Internal Medicine Physician | 2006-08-31 |
| Prc Associates LLC | 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117 | Pain Medicine Physician | 2006-05-09 |
| Beacon of Life Florida LLC | 1200 Synergy Way Bldg P, Holly Hill, FL 32117-2502 | PACE Provider Organization | 2026-01-06 |
| Quick Care Medical | 645 Ridgewood Ave, Holly Hill, FL 32117-3617 | Primary Care Clinic/Center | 2005-09-19 |
| Pamela N Williams | 1016 Cadillac Dr, Daytona Beach, FL 32117-3959 | Licensed Practical Nurse | 2025-08-18 |
| John Phan | 301 Memorial Pkwy, Daytona Beach, FL 32117 | Pharmacist | 2026-04-10 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tazewell Orthopaedic & Arthritis Clinic, PC | 1754 N Broad St, Tazewell, TN 37879-4365 | Orthopaedic Surgery Physician | 2020-05-06 |
| Reno Orthopaedic Clinic, Ltd | 555 N Arlington Ave, Reno, NV 89503-4723 | Neurological Surgery Physician | 2005-10-06 |
| Anchorage Fracture and Orthopaedic Clinic, PC | 17025 Snowmobile Ln Ste 102, Eagle River, AK 99577-7044 | Durable Medical Equipment & Medical Supplies | 2021-02-25 |
| Crystal Clinic Orthopaedic Center, LLC | 3975 Embassy Pkwy Ste 102, Akron, OH 44333-8335 | Special Hospital | 2009-01-02 |
| Reno Orthopaedic Clinic, Ltd | 195 N Ada St, Fallon, NV 89406-2907 | Vascular Surgery Physician | 2006-09-06 |
| Tri City Orthopaedic Clinic, P S C | 6699 W Rio Grande Ave, Kennewick, WA 99336-3301 | Orthopaedic Surgery Physician | 2015-10-01 |
| Reno Orthopaedic Clinic, Ltd | 1034 Inglewood Dr, Fernley, NV 89408-9319 | Plastic Surgery Physician | 2025-11-26 |
| Anchorage Fracture and Orthopaedic Clinic, PC | 12350 Industry Way Ste 110, Anchorage, AK 99515-4301 | Durable Medical Equipment & Medical Supplies | 2021-02-25 |
| Reno Orthopaedic Clinic, Ltd | 5070 Ion Dr Ste 210, Sparks, NV 89436-1612 | Vascular Surgery Physician | 2014-08-18 |
| Wellspring Health - Daytona Beach, LLC | 755 Westmoreland Rd, Daytona Beach, FL 32114-1626 | Multi-Specialty Clinic/Center | 2018-05-21 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |