San Francisco Orthopaedic Surgeons Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

FNP 1026 Issued in CA

Legal business name

SAN FRANCISCO ORTHOPAEDIC SURGEONS MEDICAL GROUP

Practice address

One Shrader St
Suite 650
San Francisco, CA 94117-1036

Phone

(415) 221-0665

Fax

(415) 221-0687

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Harland Montgomery III, M.D.

Title

Vice President

Phone

(415) 221-0665

Specialties & licenses 1

Addresses

Other identifiers 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Joseph F Haggerty, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • San Francisco, CA
  • NPI 1215099882
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1154399004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SHRADER ST",
            "address_2": "SUITE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171036",
            "telephone_number": "415-221-0665",
            "fax_number": "415-221-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SHRADER ST",
            "address_2": "SUITE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171036",
            "telephone_number": "415-221-0665",
            "fax_number": "415-221-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO ORTHOPAEDIC SURGEONS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARLAND",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "415-221-0665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "FNP 1026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ48419Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.