NPIMap

Organization Active NPI

West Branch Orthopedics and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Williamsport, PA
National Provider Identifier
1528039591
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
WEST BRANCH ORTHOPEDICS AND SPORTS MEDICINE
Practice address
699 Rural Ave
Suite 101
Williamsport, PA 17701-3246
Phone
(570) 322-3640
Fax
(570) 322-3656
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Patrick Joseph Carey, DONPI 1376600775
Title
Orthopedic Doctor
Phone
(570) 322-3640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

699 Rural Ave
Suite 101
Williamsport, PA 17701-3246

Mailing address

699 Rural Ave
Suite 101
Williamsport, PA 17701-3246
Phone (570) 322-3640

Other identifiers 1

IdentifierTypeStateIssuer
0012256040001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1528039591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 RURAL AVE",
            "address_2": "SUITE 101",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013246",
            "telephone_number": "570-322-3640",
            "fax_number": "570-322-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 RURAL AVE",
            "address_2": "SUITE 101",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013246",
            "telephone_number": "570-322-3640",
            "fax_number": "570-322-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRANCH ORTHOPEDICS AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ORTHOPEDIC DOCTOR",
        "authorized_official_telephone_number": "570-322-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012256040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.