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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 37196 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 667522100 | 05 |
Other Name | Type Code |
---|---|
Southwest Minnesota and Sports Medicine, Inc. - (Marshall) | Doing Business As Name - Organization |
Street Address |
1401 NWAKAMA ST SUITE 300 |
City | MARSHALL |
State | MN |
Zip Code | 56258-5529 |
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 |
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 Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
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. |
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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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.