Organization Active NPI

Sports Medicine & Joint Replacement Specialists Corporation

  • Orthopaedic Surgery Physician
  • Greensburg, PA
National Provider Identifier
1376058735
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION
Practice address
542 Rugh St Ste 2000
Greensburg, PA 15601-5623
Phone
(412) 207-9780
Fax
(412) 207-9782
NPI assigned
Dec 7, 2017
Organization subpart
Yes
Parent organization
SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Gregory Flinn Habib, DONPI 1669457982
Title
Owner/Physician
Phone
(412) 207-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X

Addresses

Primary practice location

542 Rugh St Ste 2000
Greensburg, PA 15601-5623

Mailing address

345 Mount Lebanon Blvd
Pittsburgh, PA 15234-1504
Phone (412) 207-9780

Other identifiers 1

IdentifierTypeStateIssuer
1021997440001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Sports Medicine Joint Replacement Specialists Corporation2 organizations share this tax ID, including this one
Part of
Sports Medicine Joint Replacement Specialists Corporation

Other organizations with this tax ID 1

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

Locations

542 Rugh St
Ste 2000
Greensburg, PA 15601
Phone (412) 207-9780

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1376058735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341504",
            "telephone_number": "412-207-9780",
            "fax_number": "412-207-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 RUGH ST STE 2000",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015623",
            "telephone_number": "412-207-9780",
            "fax_number": "412-207-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS CORPORATION",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "HABIB",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "FLINN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "412-207-9780",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021997440001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.