Specialty Orthopedics Prof LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPECIALTY ORTHOPEDICS PROF LLC

Practice address

1727 S Cleveland Ave
Sioux Falls, SD 57103-3245

Phone

(605) 335-1952

Fax

(605) 373-9971

NPI assigned

May 16, 2012

Last updated

May 16, 2012By 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. Timothy Joquice Leeburton, M.D.

Title

Owner

Phone

(605) 261-4210

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Robert E Grady Jr., MD

  • Anesthesiology Physician
  • Sioux Falls, SD
  • NPI 1568438604
  NPD (past)
• James D Bertus, MD

  • Pain Medicine Physician
  • Norfolk, NE
  • NPI 1447357462
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1285993899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175126",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ORTHOPEDICS PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "LEEBURTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOQUICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-261-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sparrow Counseling LLC (Sparrow Counseling)
• Sara Luverne Spartz, CNP
• Jessica Lynn Spaulding, MSN, PMHNP-BC
• Megan Jo Spawn, M.A., NCC, LPC-MH
• Benjamin Specht
• Lindsay Speer, CNP
• Wesley Speer, MD
• Kathryn Spellmeyer
• Madyson Evelyn Spencer
• Suzannah H Spencer, M.D.

• Orthopaedic Surgery Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Orthopaedic Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.