The Sports & Spine Center PC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

THE SPORTS & SPINE CENTER PC

Practice address

7654 SW Mohawk St BLDG K
Tualatin, OR 97062-8119

Phone

(503) 691-2000

Fax

(503) 691-2001

NPI assigned

Aug 21, 2013

Last updated

Sep 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy D Huebert, MDNPI 1225050834

Title

Owner/Physician

Phone

(503) 691-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

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.

• Jimmy Dee Huebert, MD

  • Sports Medicine (Internal Medicine) Physician
  • Tualatin, OR
  • NPI 1225050834
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1649604075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7654 SW MOHAWK ST BLDG K",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628119",
            "telephone_number": "503-691-2000",
            "fax_number": "503-691-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7654 SW MOHAWK ST BLDG K",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628119",
            "telephone_number": "503-691-2000",
            "fax_number": "503-691-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPORTS & SPINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "HUEBERT",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-691-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Athena Teegarden
• David Ross Tenhulzen, MD DMD
• Janet C Terranova, SLP
• Olivia Terris, MS RDN
• The Jackson Macy Clinic LLC (The Jackson Macy Clinic)
• Therapeutic Associates Inc (TAI Tualutin Physical Therapy)
• Curtis Richard Thiessen, MD
• Madison Thomas Bradshaw
• Thomas P McWeeney MD PC (All Sports Orthopedics)
• Thomas P. McWeeney MD PC (All Sports Orthopedics)

• Sports Medicine (Internal Medicine) Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Sports Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.