Progressive Health Orthopedic Medical Group, Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G43101 Issued in CA

Legal business name

PROGRESSIVE HEALTH ORTHOPEDIC MEDICAL GROUP, INC

Practice address

81880 Dr Carreon Blvd
Suite B209
Indio, CA 92201-5559

Phone

(760) 775-1400

Fax

(760) 775-1401

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

William Simpson, M.D.

Title

Owner

Phone

(760) 775-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1245539592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81880 DR CARREON BLVD",
            "address_2": "SUITE B209",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015559",
            "telephone_number": "760-775-1400",
            "fax_number": "760-775-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81880 DR CARREON BLVD",
            "address_2": "SUITE B209",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015559",
            "telephone_number": "760-775-1400",
            "fax_number": "760-775-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTH ORTHOPEDIC MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-775-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G43101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Orthopaedic Surgery) Physician in Indio, CA
• Providers in Indio, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.