Organization Active NPI

Fairmont Orthopedics & Sports Medicine, PA

Doing business as Center for Specialty Care

  • Specialist
  • Estherville, IA
National Provider Identifier
1821229865
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA
Doing business as
Center for Specialty Care
Practice address
1820 Central Ave
Estherville, IA 51334-2409
Phone
(717) 362-5236
NPI assigned
Aug 6, 2009
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Lynn Thompson
Title
Revenue Cycle Manager
Phone
(507) 238-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1820 Central Ave
Estherville, IA 51334-2409

Mailing address

717 S State St
Suite 900
Fairmont, MN 56031-4469
Phone (507) 238-4949

Other names 1

  • Center for Specialty Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1821229865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S STATE ST",
            "address_2": "SUITE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314469",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 CENTRAL AVE",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513342409",
            "telephone_number": "717-362-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT ORTHOPEDICS & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "507-238-4949"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Specialty Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Estherville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.