NPIMap

Organization Active NPI

Knox Orthopaedic & Sports Medicine Center, LLC

  • Orthopaedic Surgery Physician
  • Mount Vernon, OH
National Provider Identifier
1396935854
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35-053777 Issued in OH
Legal business name
KNOX ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC
Practice address
1375 Yauger Rd
Suite a
Mount Vernon, OH 43050-8939
Phone
(740) 393-2226
Fax
(740) 393-2220
NPI assigned
Jul 30, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Dr. Kenneth H. Doolittle II, M.D.NPI 1609835354
Title
President, Orthopedic Surgery
Phone
(740) 393-2226

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35-053777 OH Primary

Addresses

Primary practice location

1375 Yauger Rd
Suite a
Mount Vernon, OH 43050-8939

Mailing address

PO Box 487
Mount Vernon, OH 43050-0487
Phone (740) 393-2226

Other identifiers 1

IdentifierTypeStateIssuer
2332881MedicaidOH

National Provider Directory

National Provider Directory

Locations

1375 Yauger Rd
Ste A
Mount Vernon, OH 43050
Phone (740) 393-2226

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1396935854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430500487",
            "telephone_number": "740-393-2226",
            "fax_number": "740-393-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 YAUGER RD",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508939",
            "telephone_number": "740-393-2226",
            "fax_number": "740-393-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX ORTHOPAEDIC & SPORTS MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "DOOLITTLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT, ORTHOPEDIC SURGERY",
        "authorized_official_telephone_number": "740-393-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-053777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2332881",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.