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SPORTS MEDICINE GRANT INC NPI 1588649842


NPI Information

NPI: 1588649842
Provider Name: SPORTS MEDICINE GRANT, INC

Doing Business As: SPORTS MEDICINE GRANT & ORTHOPAEDIC ASSOCIATES

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
323 E TOWN ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 461-8174
Get Directions

SPORTS MEDICINE GRANT, INC is an orthopaedic surgery in Columbus, OH. The provider is 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. SPORTS MEDICINE GRANT, INC NPI is 1588649842. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Medicine Grant & Orthopaedic Associates.

The provider's business location address is:

323 E TOWN ST
COLUMBUS, OH
ZIP 43215-774
Phone: (614) 461-8174
Fax: (614) 461-9155

The provider's authorized official is Raymond J Tesner .
The authorized official title is President and has the following contact phone number (614) 461-8174.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 2/22/2010.


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
1207X00000XOrthopaedic SurgeryOHIOYes

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
1SP9213476OTHERWEST VIRGINIAWV MEDICARE GROUP
2CD7823OTHEROHIOOH RR MDCR (GROUP)
30697974MEDICAIDOHIO
4CK2955OTHERWEST VIRGINIAWV RR MDCR (GROUP)
5SP9213471MEDICARE ID-TYPE UNSPECIFIEDOHIOGROUP

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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