NPIMap

Organization Active NPI

Community Orthopedics & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Farmington, MO
National Provider Identifier
1841574779
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
Practice address
1101 Weber Rd
Suite 203
Farmington, MO 63640-3352
Phone
(573) 756-2600
Fax
(573) 756-2615
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Ms. Tammy C Adderley
Title
Credentialing
Phone
(314) 432-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1101 Weber Rd
Suite 203
Farmington, MO 63640-3352

Mailing address

PO Box 1449
Maryland Heights, MO 63043-0449
Phone (314) 432-2580

National Provider Directory

National Provider Directory
Tax ID family
Community Orthopedics Sports Medicine PC3 organizations share this tax ID, including this one
Part of
Community Orthopedics Sports Medicine PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 Weber Rd
Ste 203
Farmington, MO 63640
Phone (573) 701-0060

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1841574779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430449",
            "telephone_number": "314-432-2580",
            "fax_number": "314-432-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEBER RD",
            "address_2": "SUITE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403352",
            "telephone_number": "573-756-2600",
            "fax_number": "573-756-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "ADDERLEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "314-432-2580",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.