NPIMap

Organization Active NPI

Hciortho

Doing business as HCI Ortho LLC dba SportsMed Alaska

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Soldotna, AK
National Provider Identifier
1285000497
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
8038 Issued in AK
Legal business name
HCIORTHO
Doing business as
HCI Ortho LLC dba SportsMed Alaska
Practice address
289 N Fireweed St Ste B
Soldotna, AK 99669-7570
Phone
(907) 420-3540
Fax
(907) 312-5881
NPI assigned
Aug 11, 2015
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Herbert O Bote, MDNPI 1972535417
Title
Owner
Phone
(413) 770-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X 8038 AK Primary

Addresses

Primary practice location

289 N Fireweed St Ste B
Soldotna, AK 99669-7570

Mailing address

PO Box 1534
Soldotna, AK 99669-1534
Phone (413) 770-1135

Other identifiers 1

IdentifierTypeStateIssuer
1633107MedicaidAK

Other names 1

  • HCI Ortho LLC dba SportsMed Alaska Doing business as

National Provider Directory

National Provider Directory

Locations

260 Caviar St
#100
Kenai, AK 99611
Phone (907) 283-5458

170 E Corral Ave
Ste 4
Soldotna, AK 99669
Phone (907) 262-6800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1285000497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1534",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996691534",
            "telephone_number": "413-770-1135",
            "fax_number": "907-312-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 N FIREWEED ST STE B",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697570",
            "telephone_number": "907-420-3540",
            "fax_number": "907-312-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCIORTHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "BOTE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-770-1135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AK",
            "license": "8038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1633107",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCI Ortho LLC dba SportsMed Alaska",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HCI Ortho LLC dba SportsMed Alaska",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.