Organization Active NPI

Orthopedic Associates of Pottsville

  • Orthopaedic Surgery Physician
  • Pottsville, PA
National Provider Identifier
1417060443
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF POTTSVILLE
Practice address
700 Schuylkill Manor Rd
Suite 1
Pottsville, PA 17901-3849
Phone
(570) 622-5672
Fax
(570) 622-6099
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Calvin D Stoudt, DO
Title
Partner
Phone
(570) 622-5672

Specialties & licenses 1

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

Addresses

Primary practice location

700 Schuylkill Manor Rd
Suite 1
Pottsville, PA 17901-3849

Mailing address

PO Box 510
Pottsville, PA 17901-0510
Phone (570) 622-5672

Other identifiers 2

IdentifierTypeStateIssuer
CF3054OtherPATRAVELERS MEDICARE
074506OtherHIGHMARK BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1417060443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179010510",
            "telephone_number": "570-622-5672",
            "fax_number": "570-622-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCHUYLKILL MANOR RD",
            "address_2": "SUITE 1",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013849",
            "telephone_number": "570-622-5672",
            "fax_number": "570-622-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF POTTSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "STOUDT",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-622-5672",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CF3054",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "074506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.