Organization Active NPI

Seivert Orthopedics and Sports Medicine,PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Phoenix, AZ
National Provider Identifier
1518161264
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
SEIVERT ORTHOPEDICS AND SPORTS MEDICINE,PC
Practice address
4611 E Shea Blvd
Suite 200
Phoenix, AZ 85028-4254
Phone
(602) 265-9900
Fax
(602) 265-4130
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Michael Anthony Seivert, D.O.NPI 1437175783
Title
Owner
Phone
(602) 265-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4611 E Shea Blvd
Suite 200
Phoenix, AZ 85028-4254

Mailing address

4611 E Shea Blvd
Suite 200
Phoenix, AZ 85028-4254
Phone (602) 265-9900

National Provider Directory

National Provider Directory

Locations

4611 E Shea Blvd
Ste 200
Phoenix, AZ 85028
Phone (480) 584-3635

Practitioners & affiliated clinicians

Practitioners 1

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1518161264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-265-9900",
            "fax_number": "602-265-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 E SHEA BLVD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284254",
            "telephone_number": "602-265-9900",
            "fax_number": "602-265-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIVERT ORTHOPEDICS AND SPORTS MEDICINE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "SEIVERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-265-9900",
        "authorized_official_credential": "D.O."
    },
    "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 Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.