Sports Medicine Orthopaedics & Podiatry Inc

LBN: Sports Medicine Orthopaedics & Podiatry Inc
Sports Medicine Orthopaedics & Podiatry Inc is an health care organization with primary practice located at 400 Massasoit Avenue Suite 201, East Providence RI 02914-2012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Sports Medicine Orthopaedics & Podiatry Inc can be contacted via phone (401) 383-7753, or through Goldstein, Jack D via phone (401) 383-7753.

Contact Information

Primary practice address
400 Massasoit Avenue Suite 201 East Providence RI 02914-2012
Fax: (401) 383-8982
Website:
Authorized official contact:
Name: Goldstein, Jack D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X

Profile Details

NPI number 1407034994
LBN Legal business name Sports Medicine Orthopaedics & Podiatry Inc
DBA Doing business as
Authorized official Goldstein, Jack D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Dec 2nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407034994 NPPES
Rhode Island MEDICAID 9020116

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