Orthopedics & Sports Medicine PLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDICS & SPORTS MEDICINE PLC

Practice address

1223 S Gear Ave
Eastman Plaza-Suite 101
West Burlington, IA 52655-1682

Phone

(319) 753-5352

Fax

(319) 753-0462

NPI assigned

May 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitchell Holiday Paul, D.O.

Title

President and Ceo

Phone

(319) 753-5352

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1023063963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125305",
            "telephone_number": "515-237-3974",
            "fax_number": "515-883-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "EASTMAN PLAZA-SUITE 101",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-753-5352",
            "fax_number": "319-753-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDICS & SPORTS MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "HOLIDAY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "319-753-5352",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493536",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric O'Brien, OD
• Ashley Ann Ohern
• Debbie Kay Ohrt, ARNP
• Rachel Antoinette Oliverio, DO,MPH
• Olufemi Oladele-Ajose MD PC
• Jeremy Owens, DO
• Brandy Parker, ARNP
• Pearle Vision
• Daniel J. Peasley, D.O.
• Melanie Kolbe Perkins, LISW

• Orthopaedic Surgery Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Orthopaedic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.