Jack T. Sproul, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JACK T. SPROUL, MD PC

Doing business as

Cortland Orthopedics

Practice address

135 N Main St
Cortland, NY 13045-1226

Phone

(607) 756-6330

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack T Sproul, MD

Title

Ceo

Phone

(607) 756-6330

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CORTLAND ORTHOPEDICS Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1649377722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451226",
            "telephone_number": "607-756-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N MAIN ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451226",
            "telephone_number": "607-756-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK T. SPROUL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "607-756-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02723462",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORTLAND ORTHOPEDICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter R Iannotta, R.P.A.-C
• Garrett Imbrenda, LMSW
• William G Innerst, RPH
• Michael Richard Izzo, PHARMD
• J. M. Murray Center, Inc.
• Carrie Rose Klotz Jackson, MD
• Joseph Jacobi
• Jacobus Center for Reproductive Health
• Kim Moon Ja Jacoby, RN, BS
• James S Leonard, DPM PC

• Orthopaedic Surgery Physician in Cortland, NY
• Providers in Cortland, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.