NPIMap

Organization Active NPI

Oregon Orthopedic & Sports Medicine Clinic, LLP

  • Orthopaedic Surgery Physician
  • Oregon City, OR
National Provider Identifier
1588762736
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD18109 Issued in OR
Legal business name
OREGON ORTHOPEDIC & SPORTS MEDICINE CLINIC, LLP
Practice address
1508 Division St
Suite 105
Oregon City, OR 97045-1582
Phone
(503) 905-4104
Fax
(503) 656-9464
NPI assigned
Sep 20, 2006
Last updated
May 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Terrence A Sedgewick, MDNPI 1386679520
Title
Surgeon
Phone
(503) 905-4104

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
Orthopaedic Surgery Physician 207X00000X MD18109 OR Primary

Addresses

Primary practice location

1508 Division St
Suite 105
Oregon City, OR 97045-1582

Mailing address

1508 Division St
Suite 105
Oregon City, OR 97045-1582
Phone (503) 905-4104

Other identifiers 1

IdentifierTypeStateIssuer
141796MedicaidOR

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the 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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1588762736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-905-4104",
            "fax_number": "503-656-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 DIVISION ST",
            "address_2": "SUITE 105",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451582",
            "telephone_number": "503-905-4104",
            "fax_number": "503-656-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON ORTHOPEDIC & SPORTS MEDICINE CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "SEDGEWICK",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "503-905-4104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD18109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141796",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.