Spine & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

50003295A Issued in IN

Legal business name

SPINE & SPORTS MEDICINE

Practice address

2226 W Alto Rd
Kokomo, IN 46902-4840

Phone

(765) 453-7700

NPI assigned

May 5, 2007

Organization subpart

No

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

Authorized official

Name

Mohammad Nekoomaram, M.D.NPI 1255379673

Title

President

Phone

(765) 453-7700

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.

• Mohammad R Nekoomaram, MD

  • Orthopaedic Surgery Physician
  • Kokomo, IN
  • NPI 1255379673
  NPD (past) Authorized official

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1184836538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 W ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024840",
            "telephone_number": "765-453-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 W ALTO RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469024840",
            "telephone_number": "765-453-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "NEKOOMARAM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-453-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "50003295A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Speicher
• David Spence
• Heath Spence, MD
• Carol Sue Spencer, LCSW, ACSW
• Spero Therapy Services, Inc.
• Jensen Spitznogle
• Sports Medicine and Physical Therapy Center
• Bradley Sprague
• Sheila R Springer, PTA
• SRT Prosthetics & Orthotics LLC (ForMotion Clinic)

• Orthopaedic Surgery Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.