Orthopaedic Surgery and Sports Medicine Group, PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC

Practice address

254 Lancaster Ave
Malvern, PA 19355-3087

Phone

(610) 644-7755

Fax

(610) 644-8290

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Roberta K Mainiero

Title

Practice Administrator

Phone

(610) 644-7755

Specialties & licenses 2

Addresses

Tax ID family

Orthopaedic Surgery and Sports Medicine Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopaedic Surgery and Sports Medicine Group, PC

  • Sports Medicine (Internal Medicine) Physician
  • Malvern, PA
  • NPI 1417219361
  NPD tax ID

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1346505666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553087",
            "telephone_number": "610-644-7755",
            "fax_number": "610-644-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SURGERY AND SPORTS MEDICINE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MAINIERO",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "610-644-7755",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olamide Obilana
• Charles J Odgers, M.D.
• Mary Kathleen Oleary, PSY D
• Allison N Oliveira, MS, OTR/L
• Stacey Ollivier, LBS, BCBA, IBA
• Orthopaedic Surgery and Sports Medicine Group, PC
• Maureen Lynn Osborne, PH. D.
• Rajendra Padhye, MD
• Lorraine Palita, MT
• Robert D Pannone, PHARM.D.

• Foot & Ankle Surgery Podiatrist in Malvern, PA
• Providers in Malvern, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.