Active NPI
The Orthopedic & Sports Medicine Center, LLC
- Specialist
- Saint Joseph, MO
National Provider Identifier
1689796815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0214690001
- Legal business name
- THE ORTHOPEDIC & SPORTS MEDICINE CENTER, LLC
- Practice address
- 3107 Frederick Ave
Saint Joseph, MO 64506-2911 - Phone
- (816) 233-9888
- Fax
- (816) 233-0414
- NPI assigned
- Apr 6, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sioux Kearnes
- Title
- Office Manager
- Phone
- (816) 233-9888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0214690001 | MO | Primary |
Addresses
Primary practice location
3107 Frederick Ave
Saint Joseph, MO 64506-2911
Mailing address
3107 Frederick Ave
Saint Joseph, MO 64506-2911
Phone (816) 233-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0214690001 | Other | MO | DMERC SUPPLIES |
National Provider Directory
National Provider Directory- Tax ID family
- Orthopedic Sports Ctr LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Missouri Western State University Sports Medicine
- Orthopaedic Surgery Physician
- Saint Joseph, MO
- NPI 1063891158
-
- Orthopaedic Surgery Physician
- Kansas City, MO
- NPI 1124609425
-
dba Open MRI of St. Joseph
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Saint Joseph, MO
- NPI 1669695011
Locations
3107 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-9555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689796815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3107 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062911",
"telephone_number": "816-233-9888",
"fax_number": "816-233-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3107 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062911",
"telephone_number": "816-233-9888",
"fax_number": "816-233-0414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ORTHOPEDIC & SPORTS MEDICINE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KEARNES",
"authorized_official_first_name": "SIOUX",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "816-233-9888"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "0214690001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC SUPPLIES",
"identifier": "0214690001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
- Jordan Terrell, DO
- Joseph Eugene Tetlow
- The Hearing Connection LLC
- The Hearing Connection, LLC.
- The Orthopedic & Sports Medicine Center, LLC (Open MRI of St. Joseph)
- The Spec Shoppe of St. Joseph, Inc.
- The Whole Person, Inc.
- Holly L. Thomas-Chapman, LCSW
- Brynde Janea Thomas, FNP-C
- Elizabeth Ashley Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.