LASALLE SPORTS MEDICINE
NPI 1568950178
Orthopaedic Surgery in Philadelphia, PA

Active since April 30, 2018
1900 W OLNEY AVE, PHILADELPHIA, PA 19141(972) 367-4845 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lasalle Sports Medicine NPPES

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

LASALLE SPORTS MEDICINE (NPI 1568950178) is a healthcare organization registered as an orthopaedic surgery in Philadelphia, Pennsylvania and active in the NPI registry since April 2018. The organization lists Mouzon Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568950178
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLASALLE UNIVERSITY
Location Address1900 W OLNEY AVEPhiladelphia, PA 19141-1108
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator · (972) 367-4845
Enumeration DateApril 30, 2018
NPI 1568950178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1900 W OLNEY AVE, Philadelphia, PA 19141

Other Names 1

Doing Business AsLasalle Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Psychologist (Clinical)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Family Medicine
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Specialist/Technologist (Athletic Trainer)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141
Nurse Practitioner (Family)
1900 W OLNEY AVE
PHILADELPHIA, PA 19141

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 Lasalle University's NPI number?

The NPI number for Lasalle University is 1568950178. It was assigned to this organization in the NPPES registry on April 30, 2018. The provider is doing business as Lasalle Sports Medicine.

Where is Lasalle University located?

Lasalle University is located at 1900 W Olney Ave, Philadelphia, PA 19141. The listed phone number is (972) 367-4845.

What is Lasalle University's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Lasalle University was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.