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SPORTS MEDICINE GROUP NPI 1629177225


NPI Information

NPI: 1629177225
Provider Name: SPORTS MEDICINE GROUP

Doing Business As: THE SPORTS MEDICINE CLINIC

Classification: Family Medicine - 207QS0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 50D0632061

Address:
10330 MERIDIAN AVE N
SUITE 300
SEATTLE, WA
ZIP 98133
Phone: (206) 368-6100
Get Directions

SPORTS MEDICINE GROUP is a sports medicine family medicine in Seattle, WA. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. SPORTS MEDICINE GROUP NPI is 1629177225. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Sports Medicine Clinic.

The provider's business location address is:

10330 MERIDIAN AVE N
SUITE 300
SEATTLE, WA
ZIP 98133-451
Phone: (206) 368-6100
Fax: (206) 368-6101

The provider's authorized official is Ricki Vadset .
The authorized official title is Clinic Administrator and has the following contact phone number (206) 368-6100.

The CLIA number assigned to this NPI record is 50D0632061 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 9/25/2008.


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
1207QS0010XFamily MedicineSports Medicine601 664 888WASHINGTONYes

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
1217119400MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
21227890001MEDICARE NSCWASHINGTON

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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