PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD (NPI# 1619296621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619296621 |
| Entity Type | Organization |
| Organization Name | PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD |
| Practice Address |
300 Evergreen Dr Ste 200 Glen Mills PA 19342-1059 |
| Practice Telephone | 6103614198 |
| Mailing Telephone | 6103614198 |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2013-11-18 |
| Authorized Official Name | KIM STOTT (ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 6103595664 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386056075 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 1088 West Baltimore Pike, Suite 2302, Riddle Memorial Hospital Healthcare Center II, Media, PA 19063 | 2014-05-29 |
| 1215987243 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Clinic/Center | 3809 W Chester Pike, Suite 150, Newtown Square, PA 19073-2331 | 2006-05-11 |
| 1306208277 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Specialist | 1569 Medical Dr, Suite 200, Pottstown, PA 19464-3223 | 2016-03-22 |
| 1093124224 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 826 Main St, Mob II Suite 202, Phoenixville, PA 19460-4459 | 2014-08-13 |
| 1740699966 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2014-08-13 |
| 1568871788 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Specialist | 599 Arcola Rd, Suite 208, Collegeville, PA 19426-3954 | 2014-08-13 |
| 1659780872 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 491 John Young Way, Suite 100, Exton, PA 19341-2567 | 2014-08-13 |
| 1205246287 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 525 Jamestown St, Suite 105, Philadelphia, PA 19128-1751 | 2014-04-30 |
| 1538590328 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Orthopaedic Surgery | 780 W Lincoln Hwy, The Commons At Oaklands, Exton, PA 19341-2547 | 2013-12-05 |
| 1548513559 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Durable Medical Equipment & Medical Supplies | 931 E Haverford Rd, Suite 200, Bryn Mawr, PA 19010-3838 | 2012-10-16 |
| Street Address |
300 EVERGREEN DR STE 200 |
| City | GLEN MILLS |
| State | PA |
| Zip Code | 19342-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429793 | Dana Jo Gross | Occupational Therapist | 300 Evergreen Dr, Suite 220, Glen Mills, PA 19342-1059 | 2006-05-01 |
| 1285181693 | Christina Velazquez | Physical Therapist | 300 Evergreen Dr, Suite 220, Glen Mills, PA 19342-1059 | 2016-09-01 |
| 1619334984 | Lauren Dengler | Physical Therapist | 300 Evergreen Dr, Suite 220, Glen Mills, PA 19342-1059 | 2016-01-18 |
| 1205242849 | Shannon Bonini | Specialist/Technologist | 300 Evergreen Dr, Glen Mills, PA 19342-1059 | 2014-07-03 |
| 1043649627 | Phyllis E Jackson | Physician Assistant | 300 Evergreen Dr, Suite 150, Glen Mills, PA 19342-1059 | 2013-11-05 |
| 1427310663 | Julie Marie Blanchard | Physical Therapist | 300 Evergreen Dr, Suite 220, Glen Mills, PA 19342-1059 | 2012-06-13 |
| 1972875292 | Julia A Kasper | Internal Medicine | 300 Evergreen Dr, Suite 310, Glen Mills, PA 19342-1059 | 2012-02-01 |
| 1962721480 | Premier Orthopaedic and Sports Medicine Associates, Ltd | Occupational Therapist | 300 Evergreen Dr, Ste 220, Glen Mills, PA 19342-1059 | 2010-05-24 |
| 1619105343 | Yamara Sheree Coutinho-sledge | Pediatrics | 300 Evergreen Dr, Suite 160, Glen Mills, PA 19342-1059 | 2009-07-01 |
| 1770711376 | Zachary T Mitchell | Physical Therapist | 300 Evergreen Dr, Ste 220, Glen Mills, PA 19342-1059 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038669 | Katherine Bilinski | Dietitian, Registered | 239 Winsor Court, Glen Mills, PA 19342 | 2018-10-03 |
| 1568969624 | Revathi Sangeetha Thirumaran | Nurse Anesthetist, Certified Registered | 24 Chamberlain Ct, Glen Mills, PA 19342 | 2018-04-06 |
| 1871098459 | Kristen Marie Rhodes | Counselor | 245 Bethel Road, Glen Mills, PA 19342 | 2018-03-27 |
| 1295256212 | Heart 2 Heart Home Care Agency | Home Health | 11 Mount Aire Farm Road, Glen Mills, PA 19342 | 2017-06-29 |
| 1285088385 | Christopher Clark | Occupational Therapist | 101 Applied Bank Blvd Ste D4, Glen Mills, PA 19342 | 2016-04-15 |
| 1528439742 | Dental Professionals of Pennsylvania, PC | Dentist | 1751 Wilmington Pike, Suite F-2, F-3, Glen Mills, PA 19342 | 2015-10-14 |
| 1760853246 | Wegmans Food Markets, Inc. | Pharmacy | 100 Applied Bank Blvd, Glen Mills, PA 19342 | 2015-10-09 |
| 1508289893 | Mandy Fadakar | Pharmacist | 700 Evergreen Drive, Glenn Mills, PA 19342 | 2014-01-23 |
| 1073944476 | Amanda M Hoffman | Behavioral Analyst | 4 Mohawk Court, Glen Mills, PA 19342 | 2013-12-10 |
| 1235576075 | Sarah E Tonelli | Dermatology | 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 | 2013-06-03 |
| Find all providers in zip 19342 | ||||
| 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 |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | GLEN MILLS |
| Zip Code | 19342 |
Please comment or provide details below to improve the information on PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD.
| 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.