Active NPI
Sportsmedicine Atlantic Orthopaedics PA
- Orthopaedic Surgery Physician
- York, ME
National Provider Identifier
1386957470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 015677
- Legal business name
- SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA
- Practice address
- 16 Hospital Dr
York, ME 03909-1011 - Phone
- (207) 363-3490
- Fax
- (603) 431-3347
- NPI assigned
- Jul 19, 2010
- Last updated
- Jan 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Hovanec
- Title
- Patient Accounts Liaison
- Phone
- (603) 559-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 015677 | ME | Primary |
Addresses
Primary practice location
16 Hospital Dr
York, ME 03909-1011
Mailing address
1900 Lafayette Rd Ste a
Portsmouth, NH 03801-5679
Phone (603) 431-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1232140001 | Other | ME | MEDICARE DME/POS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053273 | ME | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 4587561196 | Practice locations: York, ME |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Atlantic Orthopaedics & Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- Dover, NH
- NPI 1275354227
4587561196
National Provider Directory
National Provider Directory- Tax ID family
- Sportsmed Atlantic Ortho
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Atlantic Orthopaedics & Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- Dover, NH
- NPI 1275354227
-
- Podiatrist
- Portsmouth, NH
- NPI 1538390604
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1386957470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 LAFAYETTE RD STE A",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015679",
"telephone_number": "603-431-1121",
"fax_number": "603-431-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HOSPITAL DR",
"city": "YORK",
"state": "ME",
"postal_code": "039091011",
"telephone_number": "207-363-3490",
"fax_number": "603-431-3347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "HOVANEC",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "PATIENT ACCOUNTS LIAISON",
"authorized_official_telephone_number": "603-559-8345"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ME",
"license": "015677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME/POS",
"identifier": "1232140001",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.