Organization Active NPI

Letonoff Orthopaedics & Sports

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gulfport, MS
National Provider Identifier
1477789964
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
18468 Issued in MS
Legal business name
LETONOFF ORTHOPAEDICS & SPORTS
Practice address
452 Court House Road
Suite G
Gulfport, MS 39507
Phone
(228) 896-4747
Fax
(228) 896-4740
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Erig J Letonoff, MD
Title
Owner
Phone
(228) 896-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X 18468 MS Primary

Addresses

Primary practice location

452 Court House Road
Suite G
Gulfport, MS 39507

Mailing address

452 Court House Road
Suite G
Gulfport, MS 39507
Phone (228) 896-4747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1477789964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 COURT HOUSE ROAD",
            "address_2": "SUITE G",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-896-4747",
            "fax_number": "228-896-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 COURT HOUSE ROAD",
            "address_2": "SUITE G",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-896-4747",
            "fax_number": "228-896-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETONOFF ORTHOPAEDICS & SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "LETONOFF",
        "authorized_official_first_name": "ERIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-896-4747",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MS",
            "license": "18468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.