Orthopedic & Sports Medicine Center LLC
NPI 1093780645ActiveOrganization· Specialist· Saint Joseph, MO
Specialist in Saint Joseph, Missouri, registered in NPPES in February 2006. The authorized official on file is Sioux Kearnes, Office Manager. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1093780645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2006 |
| Last updated in NPPES | Jul 3, 2024 |
| Certified by provider | Jul 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MO); Part B Supplier - Clinic/Group Practice (MO) |
|---|
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