Chestnut Creek Orthopedics and Sports Medicine PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0101254866 Issued in VA

Legal business name

CHESTNUT CREEK ORTHOPEDICS AND SPORTS MEDICINE PLLC

Practice address

101 Doctors Park
Galax, VA 24333-2277

Phone

(276) 238-0990

Fax

(276) 238-1081

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Thomas Sproul, M.D.NPI 1588644116

Title

Owner

Phone

(276) 238-0990

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jack T Sproul, M.D.

  • Orthopaedic Surgery Physician
  • Galax, VA
  • NPI 1588644116
  Authorized official Same address or phone

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1184007122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-238-0990",
            "fax_number": "276-238-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-238-0990",
            "fax_number": "276-238-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT CREEK ORTHOPEDICS AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-238-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101254866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Chaffee, P.T.
• Rebecca Lynn Chapman, LPC
• James Allen Chappell, D.O.
• Cynthia Lee Chausse, ED.D., L.M.H.C LPC
• Chestnut Creek Counseling Center
• Kenneth A Clark, MD
• John Paul Clay, PA
• Clearchoice DME LLC
• Mark Clemons, DMD
• Raymond Charles Clifford Sr., BS, CSAC. QMHP-A,C

• Orthopaedic Surgery Physician in Galax, VA
• Providers in Galax, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.