NPIMap

Organization Active NPI

Devola Orthopedic Center of Sports Medicine, Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Marietta, OH
National Provider Identifier
1497791388
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
DEVOLA ORTHOPEDIC CENTER OF SPORTS MEDICINE, INC.
Practice address
4800 State Route 60
Marietta, OH 45750-5432
Phone
(740) 374-2597
Fax
(740) 374-5835
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Troy E Skidmore, DO
Title
President
Phone
(740) 374-2597

Specialties & licenses 1

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

Addresses

Primary practice location

4800 State Route 60
Marietta, OH 45750-5432

Mailing address

4800 State Route 60
Marietta, OH 45750-5432
Phone (740) 374-2597

National Provider Directory

National Provider Directory

Locations

1600 Murdoch Ave
Parkersburg, WV 26101
Phone (304) 424-4111

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1497791388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 STATE ROUTE 60",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505432",
            "telephone_number": "740-374-2597",
            "fax_number": "740-374-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 STATE ROUTE 60",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505432",
            "telephone_number": "740-374-2597",
            "fax_number": "740-374-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOLA ORTHOPEDIC CENTER OF SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-374-2597",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.