Southport Orthopedics and Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTHPORT ORTHOPEDICS AND SPORTS MEDICINE

Practice address

3 Handley St
Perry, NY 14530-1342

Phone

(585) 237-2980

Fax

(585) 237-5570

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Janet Auvil

Title

Billing Manager

Phone

(910) 803-8200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1154412419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HANDLEY ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301342",
            "telephone_number": "585-237-2980",
            "fax_number": "585-237-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HANDLEY ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301342",
            "telephone_number": "585-237-2980",
            "fax_number": "585-237-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "AUVIL",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "910-803-8200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc
• Erin Michelle Rycroft, PHARM.D.
• Cynthia Sue Saar, OTR
• Lori A Schofield, L.M.T.
• Silver Lake Dental PLLC
• State of New York
• State of New York
• State of New York Comptrollers Office
• Maria Beth Staub, OTR/L
• Susan Stefanon

• All providers in Perry, NY
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.