Springfield Orthopaedic and Sports Medicine Institute LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35-085484 Issued in OH

Legal business name

SPRINGFIELD ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE LLC

Practice address

140 W Main St
Suite 100
Springfield, OH 45502-1312

Phone

(937) 398-1066

Fax

(937) 398-1076

NPI assigned

Jul 25, 2006

Last updated

Dec 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ian M. Thompson, M.D.NPI 1619928371

Title

Owner

Phone

(937) 398-1066

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDEFDD

Practitioners 6

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.

• Ian Martin Thompson, MD

  • Orthopaedic Surgery Physician
  • Springfield, OH
  • NPI 1619928371
  Medicare reassignment Care Compare group NPD Authorized official
• David B. Galluch, M.D.

  • Orthopaedic Surgery Physician
  • Springfield, OH
  • NPI 1295778546
  Medicare reassignment Care Compare group NPD
• Amie Dougherty Beals, PA-C

  • Physician Assistant
  • Springfield, OH
  • NPI 1396730479
  Medicare reassignment Care Compare group
• Hailey Nicole Lafreniere, PA-C

  • Physician Assistant
  • Springfield, OH
  • NPI 1366254351
  Medicare reassignment Care Compare group
• Michael Matthew Milam, P.A.C.

  • Surgical Physician Assistant
  • Flagstaff, AZ
  • NPI 1548250954

  OH

  Medicare reassignment Care Compare group
• Lindsay Renee Feucht, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1598357345
  Medicare reassignment

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1982626982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021312",
            "telephone_number": "937-398-1066",
            "fax_number": "937-398-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021312",
            "telephone_number": "937-398-1066",
            "fax_number": "937-398-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-398-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-085484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Hematology and Oncology Associates, Inc
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• Springfield Masonic Community (Springfield Masonic Community - Laboratory)
• Springfield Metropolitan Housing Authority
• Springfield Opco, LLC (Arbors at Springfield)
• Springfield Pediatric Dentistry
• Springfield Physical Therapy Inc
• Springfield Preparatory & Fitness Academy
• Springfield Primary Healthcare Services, LLC
• Springfield Psychiatric Associates Inc (Springfield Psychiatric Associates)

• Orthopaedic Surgery Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.