Organization Active NPI

Orthopaedic Surgery & Sports Medicine Group PC

  • Orthopaedic Surgery Physician
  • Paoli, PA
National Provider Identifier
1053303347
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PC
Practice address
254 W Lancaster Ave
Paoli, PA 19301-1723
Phone
(610) 644-7755
Fax
(610) 644-8290
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Authorized official

Name
Lewis S Sharps, M.D.NPI 1255369690
Title
Physician
Phone
(610) 644-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

254 W Lancaster Ave
Paoli, PA 19301-1723

Mailing address

PO Box 968
Paoli, PA 19301-0968
Phone (610) 644-7755

Other identifiers 5

IdentifierTypeStateIssuer
CI3754OtherPARAILROAD MEDICARE
30376OtherPAUS HEALTHCARE
G01550OtherDEMEDICARE OF DELAWARE
465833OtherDEUS HEALTHCARE
000386934OtherBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3521 Silverside Rd
Ste 2B
Wilmington, DE 19810
Phone (302) 475-7800

100 1st Ave
Ste A
Phoenixville, PA 19460
Phone (610) 933-2288

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1053303347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193010968",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011723",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "SHARPS",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-644-7755",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3754",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "30376",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF DELAWARE",
            "identifier": "G01550",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "465833",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000386934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.