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SOUTHERN ORTHOPAEDIC SPORTS MEDICNE NPI 1013965789


NPI Information

NPI: 1013965789
Provider Name: SOUTHERN ORTHOPAEDIC SPORTS MEDICNE
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1718 SAINT JULIAN PL
COLUMBIA, SC
ZIP 29204
Phone: (803) 376-8880
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SOUTHERN ORTHOPAEDIC SPORTS MEDICNE is a sports medicine orthopaedic surgery in Columbia, SC. The provider is 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. SOUTHERN ORTHOPAEDIC SPORTS MEDICNE NPI is 1013965789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1718 SAINT JULIAN PL
COLUMBIA, SC
ZIP 29204-410
Phone: (803) 376-8880
Fax: (803) 376-8881

The provider's authorized official is Evan Franklin Ekman .
The authorized official title is President and has the following contact phone number (803) 376-8880.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 10/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports Medicine19175SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16713MEDICARE PINSOUTH CAROLINA
2GP2755MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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