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ORTHOPEDIC & SPORTS MEDICINE CENTER LLC
NPI 1093780645
Specialist in Saint Joseph, MO

Active since February 17, 2006CLIA 26D0947574 · Waiver
3107 FREDERICK AVE, SUITE B, SAINT JOSEPH, MO 64506(816) 233-9888(816) 233-0414 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Orthopedic & Sports Medicine Center Llc NPPES

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

ORTHOPEDIC & SPORTS MEDICINE CENTER LLC (NPI 1093780645) is a healthcare organization registered as a specialist in Saint Joseph, Missouri and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2028, maintains a secondary practice location in Saint Joseph, and lists Sioux Kearnes, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093780645
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameORTHOPEDIC & SPORTS MEDICINE CENTER LLC
Location Address3107 FREDERICK AVE, SUITE BSaint Joseph, MO 64506-2911
Mailing Address3107 Frederick Ave, Suite BSaint Joseph, MO 64506-2911 · (816) 233-9888 · Fax (816) 233-0414
Phone(816) 233-9888
Fax(816) 233-0414
Organization SubpartNo
Authorized OfficialSioux KearnesOffice Manager · (816) 233-9888
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1093780645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
3107 FREDERICK AVE, Saint Joseph, MO 64506
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Secondary Practice Location 1

Location 13105 Frederick AveSaint Joseph, MO 64506-2960 · Phone (816) 233-9888 · Fax (816) 233-0414

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0947574

Orthopedic & Sports Medicine Center, LLC · Saint Joseph, MO
Active · expires Jun 20, 2028
CLIA Number26D0947574
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorCorey A. Trease
Laboratory Phone(816) 232-9888
Laboratory LocationOrthopedic & Sports Medicine Center, LLC3107 Frederick Boulevard Suite B, Saint Joseph, MO 64506
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

JODY FRANKEN
Specialist/Technologist (Athletic Trainer)
3107 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9555
BRANDAN L SIGRIST PA-C
Physician Assistant (Medical)
3107 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9888
BRIAN A LIBEL PT
Specialist
3107 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9555
COREY A TREASE M.D.
Orthopaedic Surgery
3107 FREDERICK AVE, SUITE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9888
ELECTRODIAGNOSTIC & REHAB MEDICINE
Electrodiagnostic Medicine
3107 FREDERICK AVE, SUITE C
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9888
CYRUS DANIEL SMITH D.O.
Orthopaedic Surgery
3107 FREDERICK AVE, SUITE B
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9888
MS. BRENDA BAUMAN ATC
Specialist/Technologist (Athletic Trainer)
3107 FREDERICK AVE
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9555
MIDWEST REHABILITATION INC
Physical Therapist
3107 FREDERICK AVE, LOWER LEVEL
SAINT JOSEPH, MO 64506
Buchanan County (816) 233-9555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Orthopedic & Sports Medicine Center LLC's NPI number?

The NPI number for Orthopedic & Sports Medicine Center LLC is 1093780645. It was assigned to this organization in the NPPES registry on February 17, 2006.

Where is Orthopedic & Sports Medicine Center LLC located?

Orthopedic & Sports Medicine Center LLC is located at 3107 Frederick Ave Suite B, Saint Joseph, MO 64506. The listed phone number is (816) 233-9888.

What is Orthopedic & Sports Medicine Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Orthopedic & Sports Medicine Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0947574) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orthopedic & Sports Medicine Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Orthopedic & Sports Medicine Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Orthopedic & Sports Medicine Center LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.