Active NPI
Greenville Orthopedic Association,Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- Greenville, PA
National Provider Identifier
1902886963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007784780004 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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
- Greenville Area School District
- Greenville Area School District
- Greenville Medical Center
- Greenville Medical Center - Upmc
- Greenville Neuromodulation Center, Inc.
- Greenville Otolaryngology, P.C.
- Greenville Pediatric Associates, LTD
- Greenville Plastic Surgery Associates, LTD
- Greenville Rehabilitation & Nursing LLC
- Greenville Surgical Assoc., P.C.
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.