Organization Active NPI

Cincinnati Sportsmedicine and Orthopaedic Center, Inc.

  • Orthopaedic Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1750577656
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC.
Practice address
6350 Glenway Ave
Suite 415
Cincinnati, OH 45211-6378
Phone
(513) 347-9999
Fax
(513) 347-3999
NPI assigned
Sep 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Linda Raterman
Title
Coo
Phone
(513) 792-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

6350 Glenway Ave
Suite 415
Cincinnati, OH 45211-6378

Mailing address

10663 Montgomery Rd
Cincinnati, OH 45242
Phone (513) 347-9999

Other identifiers 1

IdentifierTypeStateIssuer
0772669MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1750577656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10663 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-347-9999",
            "fax_number": "513-792-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 415",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-347-9999",
            "fax_number": "513-347-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "RATERMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-792-3233"
    },
    "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": "0772669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.