Ohio Sports & Spine Institute, LTD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

OHIO SPORTS & SPINE INSTITUTE, LTD

Practice address

8720 E Market St Ste 10
Warren, OH 44484-2364

Phone

(330) 469-2519

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Laurie Ann Kleeh

Title

Authorized Official

Phone

(330) 758-9400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1386300978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 E MARKET ST STE 10",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842364",
            "telephone_number": "330-469-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 E MARKET ST STE 10",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842364",
            "telephone_number": "330-469-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SPORTS & SPINE INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "KLEEH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "330-758-9400"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio North East Health Systems, Inc.
• Ohio Pain & Rehabilitation Inc
• Ohio Pain and Rehabilitation LLC
• Ohio Podiatric Physicians and Surgeons Group, LLC
• Ohio Podiatric Physicians and Surgeons Group, LLC
• Angela Olivo
• Linda Olmstead
• Su-Qin Yang Olmstead, C.D.C.A.
• Steven Olsen, D.O.
• Taylor Olson

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Warren, OH
• Providers in Warren, OH by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.