NPIMap

Organization Active NPI

Sportsmedicine Atlantic Orthopaedics PA

  • Specialist
  • Portsmouth, NH
National Provider Identifier
1881631554
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA
Practice address
1900 Lafayette Rd
Ste a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-3347
NPI assigned
Jun 1, 2006
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mayo A Noerdlinger, MDNPI 1932154507
Title
President
Phone
(603) 431-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1900 Lafayette Rd
Ste a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Ste a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050518000300 NH Part B Supplier - Clinic/Group Practice 4587561196 Receives reassigned benefits from 31 practitioners
Practice locations: Dover, NH; Portsmouth, NH
O20050518000367 ME Part B Supplier - Clinic/Group Practice 4587561196 Receives reassigned benefits from 23 practitioners
Practice locations: York, ME
O20100930027959 NH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4587561196 Practice locations: Portsmouth, NH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Interoperability endpoints

  • Direct secure messaging: asastry@direct.smao.org
  • Direct secure messaging: bbarry@direct.smao.org
  • Direct secure messaging: bcusson@direct.smao.org
  • Direct secure messaging: ceilts@direct.smao.org
  • Direct secure messaging: cscardina@direct.smao.org
  • Direct secure messaging: gcrawford@direct.smao.org
  • Direct secure messaging: jmcmahon@direct.smao.org
  • Direct secure messaging: mmorwood@direct.smao.org
  • Direct secure messaging: mnoerdlinger@direct.smao.org
  • Direct secure messaging: mquitkin@direct.smao.org
  • Direct secure messaging: reberhart@direct.smao.org
  • Direct secure messaging: rlabelle@direct.smao.org
  • Direct secure messaging: twelch@direct.smao.org
  • Direct secure messaging: wsutherland@direct.smao.org

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1881631554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "STE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "STE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMEDICINE ATLANTIC ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "NOERDLINGER",
        "authorized_official_first_name": "MAYO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-431-1121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.