Springfield Sports Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SPRINGFIELD SPORTS ACADEMY

Practice address

501 S Wittenberg Ave
Springfield, OH 45506-2101

Phone

(937) 660-3172

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Dave Massa

Title

Fiscal Officer

Phone

(330) 515-0572

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1275215527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201916",
            "telephone_number": "330-515-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WITTENBERG AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455062101",
            "telephone_number": "937-660-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SPORTS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "330-515-0572"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Regional Outpatient Surgery Center LLC
• Springfield SNF Opco LLC
• Springfield SNF Opco LLC
• Springfield SNF, Inc.
• Springfield Spine & Sport, Inc.
• Springfield Surgery Center LP
• Springfield Township Trustees
• Springfield Urology LLC
• Steven Mark Stackhouse, D.D.S.
• Bethany Stacy

• Local Education Agency (LEA) in Springfield, OH
• Providers in Springfield, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.