DR. SCOTT M. SPORER (NPI# 1043299795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043299795 |
| Entity Type | Individual |
| Full Name | DR. SCOTT M. SPORER |
| Credential | M.D. |
| Practice Address |
25 North Winfield Road Winfield IL 60190 |
| Mailing Address |
1 Westbrook Corporate Ctr #240 Westchester IL 60154-5701 |
| Practice Telephone | 6306825653 |
| Practice Fax Number | 6306828946 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
036106085 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN LOCALITY 15 | 207073 | 01 |
| IL | MEDICARE PTAN LOCALITY 16 | 207067 | 01 |
| IL | RR MEDICARE PTAN # | DA4902 | 01 |
| IL | 036106085 1 | 05 | |
| IL | BCBS GROUP ID# | 1633878 | 01 |
| IL | AETNA ID# | 7895485 | 01 |
| IL | RR MEDICARE ID# | P00091910 | 01 |
| Street Address |
25 NORTH WINFIELD ROAD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272634 | Katalin Z. Russay | Anesthesiology | 25 North Winfield Road, Winfield, IL 60190 | 2005-08-10 |
| 1306291687 | Kim Tavajian | Nurse Practitioner | 25 North Winfield Road, Winfield, IL 60190-1295 | 2016-04-25 |
| 1063829372 | Bryan Fill | Registered Nurse | 25 North Winfield Road, Cdh-flr 4-north Tower, Winfield, IL 60190-1295 | 2014-07-18 |
| 1023429065 | Izabela Agnieszka Holanday | Physician Assistant | 25 North Winfield Road, Winfield, IL 60190-1295 | 2014-05-13 |
| 1265850705 | Sara Cherny | Genetic Counselor, MS | 25 North Winfield Road, Winfield, IL 60190 | 2014-04-02 |
| 1376960872 | Patricia Lynn Brown | Nurse Practitioner | 25 North Winfield Road, Suite 103, Winfield, IL 60190-1295 | 2014-03-21 |
| 1851734040 | John Patrick Reid | Internal Medicine | 25 North Winfield Road, Winfield, IL 60190 | 2013-04-08 |
| 1407196561 | Joan Lorraine Matthews | Physician Assistant | 25 North Winfield Road, Suite 405, Winfield, IL 60190 | 2013-02-26 |
| 1326396854 | Nicole Marie Bettin | Physical Therapist | 25 North Winfield Road, Suite 506, Winfield, IL 60190 | 2012-08-15 |
| 1770838450 | Jenna Szybowicz | Speech-Language Pathologist | 25 North Winfield Road, Rehabilitation Services, Winfield, IL 60190-1295 | 2012-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835135 | Wayne Paprosky | Orthopaedic Surgery | 25 North Winfield Rd, Winfield, IL 60190 | 2006-01-11 |
| 1093901886 | Matthew David Miller | Orthopaedic Surgery | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578901799 | Kevin Christopher Bigart | Orthopaedic Surgery | 688 Cedar Crossings Dr, New Lenox, IL 60451-5200 | 2013-06-10 |
| 1174899207 | Sara Wallace | Orthopaedic Surgery | 5814 S Maryland Ave # Mc3079, Chicago, IL 60637 | 2012-03-22 |
| 1699909887 | Anand Srinivasan | Orthopaedic Surgery | 2850 Ridge Ave, Ste 880, Evanston, IL 60201 | 2009-05-04 |
| 1114184058 | Denis Nam | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612 | 2008-05-19 |
| 1376610634 | Gregg Michael Moga | Orthopaedic Surgery | 6025 Pebble Creek Ct, Gurnee, IL 60031-4722 | 2006-11-29 |
| 1134233299 | Raymond Donald Santucci | Orthopaedic Surgery | 5n467 Curling Pond Rd # 533, Wayne, IL 60184-2226 | 2006-08-18 |
| 1154321222 | Piero Capecci | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2005-07-29 |
| 1528445152 | Korey Douglas Partenheimer | Orthopaedic Surgery | 5841 S Maryland Ave, M/c 3079, Chicago, IL 60637-1443 | 2015-05-04 |
| 1922495068 | Darren Plummer | Orthopaedic Surgery | 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 | 2015-04-15 |
| 1457745416 | Mark Zekaj | Orthopaedic Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2015-03-26 |
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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.