ORTHOPEDICS AND SPORTS MEDICINE INCORPORATED (NPI# 1881661106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881661106 |
Entity Type | Organization |
Organization Name | ORTHOPEDICS AND SPORTS MEDICINE INCORPORATED |
Practice Address |
165 N Murray Hill Rd Columbus OH 43228 |
Practice Telephone | 6148786182 |
Practice Fax Number | 6148781922 |
Mailing Telephone | 6148786182 |
Mailing Fax Number | 6148781922 |
Enumeration Date | 2006-03-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | KEITH ALAN LADU (VICE PRESIDENT) |
Authorized Official Telephone | 6148786182 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HIGHMARK BLUE SHIELD | 0000572874 | 01 | |
ANTHEM | 22000000006233 | 01 | |
HEALTH MAINTENANCE PLAN | 910760 | 01 | |
DMFRC | 0236730002 | 01 | |
OH | 0243374 | 05 | |
ANTHEM | 22000000006232 | 01 | |
DMFRC | 0236730001 | 01 | |
AETNA | 0652009 | 01 | |
AETNA | 2026236 | 01 |
Street Address |
165 N MURRAY HILL RD |
City | COLUMBUS |
State | OH |
Zip Code | 43228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992216659 | Rachael Ann Thi Westfall | Family Medicine | 165 N Murray Hill Rd, Columbus, OH 43228-1585 | 2017-10-20 |
1609306844 | Thompsons Town Street Pharmacy | Pharmacy | 165 N Murray Hill Rd, Columbus, OH 43228-1585 | 2017-06-19 |
1508050485 | Central Ohio Sports Medicine and Orthopedics Incorporated | Specialist | 165 N Murray Hill Rd, Columbus, OH 43228-1585 | 2007-09-04 |
1912910365 | Neurologic Specialists Inc | Psychiatry & Neurology | 165 N Murray Hill Rd, Columbus, OH 43228-1585 | 2006-08-15 |
1689687030 | Ndi, Ltd | Psychiatry & Neurology | 165 N Murray Hill Rd, Columbus, OH 43228-1585 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
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 |
---|---|---|---|---|
1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
1437521291 | Columbus Shoulder Surgery & Sports Medicine LLC | Orthopaedic Surgery | 2045 Centre Stone Ct, Ste A, Columbus, GA 31904-4561 | 2015-10-20 |
1982013678 | Mark Francis Sommerfeldt | Orthopaedic Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2014-08-06 |
1154563385 | St. Luke's Physician Network Inc. | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2009-04-02 |
1700053857 | John Mark Ryan | Orthopaedic Surgery | 543 Taylor Ave, Columbus, OH 43203-1278 | 2008-05-08 |
1366599227 | Robert Andrew Magnussen | Orthopaedic Surgery | 2050 Kenny Rd, Pavillion Suite 3100, Columbus, OH 43221-3502 | 2007-01-04 |
1730117854 | John W Mcgrail | Orthopaedic Surgery | 543 Taylor Ave Fl 1, Columbus, OH 43203-1278 | 2006-06-29 |
1487682670 | Cary M Guse | Orthopaedic Surgery | 940 N Marr Rd, Suite C, Columbus, IN 47201-2610 | 2006-06-28 |
1578502530 | Kurt E. Jacobson | Orthopaedic Surgery | 6262 Veterans Pkwy, Columbus, GA 31909-3540 | 2006-06-05 |
1285692228 | Osu Sports Medicine Center | Orthopaedic Surgery | 2050 Kenny Rd, Third Floor, Columbus, OH 43221-3502 | 2006-05-01 |
Find all providers in COLUMBUS |
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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.