NPIMap

Organization Active NPI

Sport Clinic, PC

  • Specialist
  • Mitchell, SD
National Provider Identifier
1528275484
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1694 Issued in SD
Legal business name
SPORT CLINIC, PC
Practice address
1222 E 7TH Ave
Mitchell, SD 57301-0309
Phone
(605) 996-7077
Fax
(605) 996-0297
NPI assigned
May 17, 2007
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Dr. Robert E McWhirter, M.D.NPI 1821172917
Title
Owner
Phone
(605) 996-7077

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
Specialist 174400000X 1694 SD Primary

Addresses

Primary practice location

1222 E 7TH Ave
Mitchell, SD 57301-0309

Mailing address

PO Box 309
Mitchell, SD 57301-0309
Phone (605) 996-7077

Other identifiers 1

IdentifierTypeStateIssuer
6400430MedicaidSD

Other names 1

  • Mitchell Orthopaedic Center Other name

National Provider Directory

National Provider Directory

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1528275484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010309",
            "telephone_number": "605-996-7077",
            "fax_number": "605-996-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 E 7TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573010309",
            "telephone_number": "605-996-7077",
            "fax_number": "605-996-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MCWHIRTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-996-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SD",
            "license": "1694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6400430",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Orthopaedic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.