East Stroudsburg University

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

EAST STROUDSBURG UNIVERSITY

Doing business as

ESU Sports Medicine

Practice address

200 Prospect St
East Stroudsburg, PA 18301-2956

Phone

(972) 367-4845

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Mouzon Bass

Title

Administrator

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• ESU Sports Medicine Doing business as

Locations

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1467927210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPECT ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012956",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST STROUDSBURG UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-367-4845"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Brown Street Pharmacy, Inc
• East Penn Heart and Vascular Consultants, PC
• East Penn Rheumatology
• East Stroudsburg Area School District
• East Stroudsburg Counseling Associates LLC
• Eberhardt & Eberhardt D.M.D., PC
• Alan Christian Eberhardt, D.M.D.
• August Alan Eberhardt, D.M.D.
• Marlyn Echevarria, FNP
• Arlene L Edwards, MA, LPC, ICAADC

• Orthopaedic Surgery Physician in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.