Fairmont Orthopedics & Sports Medicine, PA
NPI 1134173644ActiveOrganization· Specialist· Fairmont, MN
Specialist in Fairmont, Minnesota, registered in NPPES in May 2006. The authorized official on file is Linda Lynn Thompson, Revenue Cycle Manager Admin Ap. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1134173644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2006 |
| Last updated in NPPES | Mar 26, 2025 |
| Certified by provider | Mar 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Licensed Practical Nurse | 164W00000X | — | — |
| Clinic/Center, Podiatric | 261QP1100X | — | — |
| Clinic/Center, VA | 261QV0200X | — | — |
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 Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Specialist providers in Fairmont
- 1245461334
- 1386615375
- 1942270681
- 1811987795