SOUTHERN ORTHOPAEDIC SPORTS MEDICNE - NPI 1013965789 - Orthopaedic Surgery in Columbia, SC

Q: What is Southern Orthopaedic Sports Medicne's NPI number?

The NPI number for Southern Orthopaedic Sports Medicne is 1013965789. It was assigned to this organization in the NPPES registry on May 5, 2006.

Q: What is Southern Orthopaedic Sports Medicne's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

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About Southern Orthopaedic Sports Medicne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ORTHOPAEDIC SPORTS MEDICNE (NPI 1013965789) is a healthcare organization registered as a sports medicine in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Evan Franklin Ekman, President, as its authorized official.

NPPES Registry Identity

NPI1013965789

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameSOUTHERN ORTHOPAEDIC SPORTS MEDICNE

Location Address1718 SAINT JULIAN PLColumbia, SC 29204-2410

Mailing Address1718 Saint Julian PlColumbia, SC 29204-2410 · (803) 376-8880 · Fax (803) 376-8881

Phone(803) 376-8880

Fax(803) 376-8881

Organization SubpartNo

Authorized OfficialEvan Franklin EkmanPresident · (803) 376-8880

Enumeration DateMay 5, 2006

Last NPPES UpdateOctober 24, 2007

✔ NPI 1013965789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in SC · 19175

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1718 SAINT JULIAN PL, Columbia, SC 29204

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Other Identifiers 2

Medicare PIN6713SC

MedicaidGP2755SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAKLEY BAUMGARDNER SMYTH PHYSICAL THERAPIST

Physical Therapist