SEIVERT ORTHOPEDICS & SPROTS MEDICINE, P.C. (NPI# 1003830688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003830688 |
| Entity Type | Organization |
| Organization Name | SEIVERT ORTHOPEDICS & SPROTS MEDICINE, P.C. |
| Practice Address |
4840 E Indian School Rd Suite 104 Phoenix AZ 85018-5500 |
| Practice Telephone | 6022659900 |
| Practice Fax Number | 6022654130 |
| Mailing Telephone | 6022659900 |
| Mailing Fax Number | 6022654130 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MICHAEL ANTHONY SEIVERT (OWNER) |
| Authorized Official Telephone | 6022659900 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2109 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS PARTICIPATING PROV # | AZ0424940 | 01 |
| Street Address |
4840 E INDIAN SCHOOL RD SUITE 104 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85018-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472351 | Frank E Cibulka | Family Medicine | 4840 E Indian School Rd, Suite 100, Phoenix, AZ 85018-5500 | 2005-10-25 |
| 1275989972 | Andre Tarin | Nurse Practitioner | 4840 E Indian School Rd, Suite #102, Phoenix, AZ 85018-5500 | 2016-05-11 |
| 1023382041 | Scottsdale Healthcare Corp | Family Medicine | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2012-03-08 |
| 1841576402 | Danielle Lynn Krotin | Physical Therapist | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2011-10-27 |
| 1447530027 | Arizona Injury Medical Associates, P.l.l.c. | Psychiatry & Neurology | 4840 E Indian School Rd, Suite 104, Phoenix, AZ 85018-5500 | 2011-08-26 |
| 1336433242 | Cheryl B Hnatiuk | Nurse Practitioner | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2011-06-08 |
| 1083918551 | Kristen Noel Peterson | Nurse Practitioner | 4840 E Indian School Rd, #102, Phoenix, AZ 85018-5500 | 2010-12-27 |
| 1578885026 | Michael Marcelino Cruz | Specialist/Technologist | 4840 E Indian School Rd, Suite 103, Phoenix, AZ 85018-5500 | 2010-02-25 |
| 1740424647 | Kelli Anderson | Nurse Practitioner | 4840 E Indian School Rd, Phoenix, AZ 85018-5500 | 2009-04-23 |
| 1124279682 | Tina Lynn Busby | Nurse Practitioner | 4840 E Indian School Rd, Suite 101, Phoenix, AZ 85018-5500 | 2008-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
| 1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
| 1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
| 1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
| 1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
| 1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
| 1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
| 1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
| Find all providers in zip 85018 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420126 | Joint Regenerative LLC | Orthopaedic Surgery | 4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360 | 2019-01-04 |
| 1225408453 | Arizona Orthopaedic Group Pllc | Orthopaedic Surgery | 2222 E Highland Ave, Suite 203, Phoenix, AZ 85016-4872 | 2015-09-30 |
| 1841682309 | Mattalino Orthopaedic Sports Surgical Specialists, LLC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2015-02-20 |
| 1255734919 | Cucchetti Orthopedics and Sports Medicine | Orthopaedic Surgery | 4440 N 36th St, Suite 100, Phoenix, AZ 85018-3588 | 2014-10-08 |
| 1326459660 | Torrey Parry | Orthopaedic Surgery | 9321 W Thomas Rd Ste 205, Phoenix, AZ 85037-3392 | 2014-05-08 |
| 1366870180 | Micheal T Lee Md PC | Orthopaedic Surgery | 2222 E Highland Ave, Suite 425, Phoenix, AZ 85016-4872 | 2013-10-15 |
| 1013274950 | Laura Vogel Abernathie | Orthopaedic Surgery | 2222 E Highland Ave Ste 300, Phoenix, AZ 85016-4879 | 2012-04-17 |
| 1447575287 | Stacey D Mcclure Md Pllc | Orthopaedic Surgery | 9250 N 3rd St, Ste 4030, Phoenix, AZ 85020-2437 | 2010-04-05 |
| 1083878615 | Shelden L Martin | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2008-07-14 |
| 1518161264 | Seivert Orthopedics and Sports Medicine,pc | Orthopaedic Surgery | 4611 E Shea Blvd, Suite 200, Phoenix, AZ 85028-4254 | 2007-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.