Organization Active NPI

Greenville Orthopedic Association,Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Greenville, PA
National Provider Identifier
1902886963
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
GREENVILLE ORTHOPEDIC ASSOCIATION,INC
Practice address
1 Greenville Orthopedic Ctr
Greenville, PA 16125-1210
Phone
(724) 588-7250
Fax
(724) 588-1559
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Carol Laverty
Title
Billing Clerk
Phone
(724) 588-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X PA Primary

Addresses

Primary practice location

1 Greenville Orthopedic Ctr
Greenville, PA 16125-1210

Mailing address

1 Greenville Orthopedic Ctr
Greenville, PA 16125-1210
Phone (724) 588-7250

Other identifiers 1

IdentifierTypeStateIssuer
0007784780004MedicaidPA

National Provider Directory

National Provider Directory

Locations

1 Greenville Orthopedic Ctr
Greenville, PA 16125
Phone (724) 588-7250

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902886963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREENVILLE ORTHOPEDIC CTR",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251210",
            "telephone_number": "724-588-7250",
            "fax_number": "724-588-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENVILLE ORTHOPEDIC CTR",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251210",
            "telephone_number": "724-588-7250",
            "fax_number": "724-588-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE ORTHOPEDIC ASSOCIATION,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "LAVERTY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "724-588-7250",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007784780004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.