Sports Medicine & Orthopaedic Centers, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SPORTS MEDICINE & ORTHOPAEDIC CENTERS, LLC

Practice address

1230 Hospital Dr
Mount Pleasant, SC 29464-3251

Phone

(843) 473-4331

Fax

(843) 473-4398

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Shane Woolf, MDNPI 1326044686

Title

Owner

Phone

(843) 412-2614

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane K. Woolf, MD

  • Orthopaedic Surgery Physician
  • Lowville, NY
  • NPI 1326044686

  SC

  Medicare reassignment Care Compare group NPD Authorized official
• Blake L Ohlson, M.D.

  • Orthopaedic Surgery Physician
  • Mt Pleasant, SC
  • NPI 1609097153
  Medicare reassignment Care Compare group NPD
• Melissa A Ohlson, RD

  • Registered Dietitian
  • Cleveland, OH
  • NPI 1649327529
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1023892262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-473-4331",
            "fax_number": "843-473-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 HOSPITAL DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643251",
            "telephone_number": "843-473-4331",
            "fax_number": "843-473-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE & ORTHOPAEDIC CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-412-2614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Caroline Spitznagel, MD
• Amanda A Spivey, MA, LPCA, NCC
• Zachary Spivey, DC
• Spoken Word Early Intervention
• Spoken Word Speech Therapy, LLC
• Kaitlyn Spring
• Stacy Springer, OTR/L
• Jacob Michael Sprouse, PHARM.D.
• Jennifer Spychalski
• St Lukes Family Practice

• Multi-Specialty Clinic/Center in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Multi-Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.