SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC


Address: 1401 Nwakama St, Suite 300, Marshall, MN 56258-5529
Phone: 5079297696

SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC (NPI# 1063578466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063578466
Entity Type Organization
Organization Name SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC
Other Organization Name SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)
Practice Address 1401 Nwakama St
Suite 300
Marshall
MN 56258-5529
Mailing Address 2331 20th St
Slayton
MN 56172-1004
Practice Telephone 5079297696
Practice Fax Number 5073937697
Mailing Telephone 5073937696
Enumeration Date 2006-12-29
Last Update Date 2010-03-18
Authorized Official Name JODY L JACKELS (OFFICE MANAGER)
Authorized Official Telephone 5073937696
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 37196 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 667522100 05

Other Provider/Organization Names

Other Name Type Code
Southwest Minnesota and Sports Medicine, Inc. - (Marshall) Doing Business As Name - Organization

Office Location

Street Address 1401 NWAKAMA ST
SUITE 300
City MARSHALL
State MN
Zip Code 56258-5529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982630828 Timothy L Larson Physician Assistant 1401 Nwakama St, Marshall, MN 56258-5529 2006-06-23
1538512405 Lauren Claire-stelly Mitchell Physical Therapist 1401 Nwakama St, Marshall, MN 56258-5529 2016-07-15
1457735854 James Jay Yackley Hearing Instrument Specialist 1401 Nwakama St, Ste 100, Marshall, MN 56258-5529 2015-07-15
1033526884 Natasha Sik Physical Therapy Assistant 1401 Nwakama St, Marshall, MN 56258-5529 2014-07-14
1942551031 Connect Hearing, Inc. Audiologist 1401 Nwakama St, Suite 100, Marshall, MN 56258-5529 2012-09-28
1871874917 Haley Ann Citrowske Physical Therapy Assistant 1401 Nwakama St, Marshall, MN 56258-5529 2011-09-02
1558699876 Erin Marie Flann Physical Therapist 1401 Nwakama St, Marshall, MN 56258-5529 2009-11-24
1407023161 Southwest Minnesota Surgical Center, Inc. Clinic/Center 1401 Nwakama St, Suite 400, Marshall, MN 56258 2008-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285140012 Action Manufacturing Inc Durable Medical Equipment & Medical Supplies 1105 Lake Road, Marshall, MN 56258 2017-12-15
1124579123 Themarshrx Durable Medical Equipment & Medical Supplies 600 Sherman Ave, Marshall, MN 56258 2016-10-14
1780020370 Heritage Pointe Senio Assisted Living Facility 207 N 4th Street, Marshall, MI 56258 2013-05-22
1528351178 Lori Anne Lynner Family Medicine 3160 Us Hwy 59, Marshall, MN 56258 2011-05-16
1912148545 Tami J Behnke Counselor 1418 State Street, Campus Religious Center, Marshall, MN 56258 2009-03-11
1073768396 Sharyce Marie Audiology Inc Audiologist 1424 East College Drive, Suite 200, Marshall, MN 56258 2008-12-01
1497976625 Erica Anne Jost Specialist/Technologist 1501 State Street, Marshall, MN 56258 2007-05-02
1265597470 Nancy Louise Hemmingson Optometrist 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 2006-12-27
1407928187 Midwest Vision Centers Inc Technician/Technologist 1113 E College Drive, Marshall, MN 56258 2006-11-15
1306918354 Paul Joseph Puetz Chiropractor 111 Jewett St, Marshall, MN 56258 2006-11-14
Find all providers in zip 56258

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy 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: definiton 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922003409 Alain Desy Orthopaedic Surgery 300 S Bruce St, Marshall, MN 56258-1934 2005-06-20
1902801871 Douglas Alan Waldman Orthopaedic Surgery 304 University Ave, Ste 212, Marshall, TX 75670-5247 2005-06-16
1205264074 Vikram Chatrath Orthopaedic Surgery 300 S Bruce St, Marshall, MN 56258-1934 2013-10-14
1922362656 Paul Aschmetat Orthopaedic Surgery 203 Winston Dr, Marshall, MI 49068-8526 2012-06-27
1922376441 Southern Michigan Orthopaedics, PC Orthopaedic Surgery 212 Winston Dr, Marshall, MI 49068-8526 2011-12-12
1356527634 Douglas E Duncan Md Orthopaedic Surgery 304 University Ave, Suite 212, Marshall, TX 75670-5210 2008-01-16
1518149632 Arthur L Strahan Jr. Orthopaedic Surgery 815 S Washington Ave, Suite 202, Marshall, TX 75670-5369 2007-11-30
1932397288 Douglas A. Waldman, M.d., P.a. Orthopaedic Surgery 304 University Ave, Suite 212, Marshall, TX 75670-5210 2007-10-11
1427134634 Battle Creek Sports Medicine and Orthopedic Center, PC Orthopaedic Surgery 212 Winston Dr, Marshall, MI 49068-8533 2006-10-31
1558335299 Kurt Rudiger Piatkowski Orthopaedic Surgery 203 Winston Dr, Marshall, MI 49068-8526 2006-02-16
Find all providers in MARSHALL

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City MARSHALL
Zip Code 56258

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Dataset Information

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.

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