Maenpaa Sports Medicine LLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

MD073775-L Issued in PA

Legal business name

MAENPAA SPORTS MEDICINE LLC

Practice address

829 Spruce St
Suite308
Philadelphia, PA 19107-5752

Phone

(215) 334-5346

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Garath Alan Maenpaa, MD

Title

Owner

Phone

(610) 209-2912

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1679873970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 KING AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081430",
            "telephone_number": "610-209-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SPRUCE ST",
            "address_2": "SUITE308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-334-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAENPAA SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "MAENPAA",
        "authorized_official_first_name": "GARATH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-209-2912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD073775-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katsuhide Maeda, M.D.
• Mikihiro Maeda, PHARM.D.
• Shusaku Maeda
• Susan Ingrid Maeder Chieffo, CRNP
• Andrew Maenner
• Laurentiu Cristian Maerean, PHARMD
• Heather Maertzig, PA
• Melody C Mafa, D.M.D
• Elizabeth Clare Maffett, CRNP
• Fenizia Maffucci, MD

• Sports Medicine (Internal Medicine) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.