COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
NPI 1710261623
Orthopaedic Surgery in Sparta, IL

Active since October 11, 2011
818 E BROADWAY ST, 1ST FLOOR, SPARTA, IL 62286(618) 443-2177(618) 443-1324 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Orthopedics & Sports Medicine, Pc NPPES

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

COMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC (NPI 1710261623) is a healthcare organization registered as an orthopaedic surgery in Sparta, Illinois and active in the NPI registry since October 2011. The organization lists Tammy Adderley, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1710261623
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCOMMUNITY ORTHOPEDICS & SPORTS MEDICINE, PC
Location Address818 E BROADWAY ST, 1ST FLOORSparta, IL 62286-1820
Mailing AddressPo Box 1449Maryland Heights, MO 63043-0449 · (314) 432-2580 · Fax (314) 432-0223
Fax(618) 443-1324
Organization SubpartYes
Authorized OfficialTammy AdderleyCredentialing · (314) 432-2580
Enumeration DateOctober 11, 2011
NPI 1710261623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 036109093
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.
818 E BROADWAY ST, Sparta, IL 62286

Other Identifiers 1

Medicare PINIL5775IL

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 17

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

Dietitian, Registered
818 E BROADWAY ST
SPARTA, IL 62286
Nurse Practitioner (Family)
818 E BROADWAY ST
SPARTA, IL 62286
Internal Medicine (Interventional Cardiology)
818 E BROADWAY ST
SPARTA, IL 62286
Clinic/Center
818 E BROADWAY ST
SPARTA, IL 62286
Emergency Medicine
818 E BROADWAY ST
SPARTA, IL 62286
Hospitalist
818 E BROADWAY ST
SPARTA, IL 62286
Nurse Practitioner (Family)
818 E BROADWAY ST
SPARTA, IL 62286
Specialist/Technologist (Athletic Trainer)
818 E BROADWAY ST
SPARTA, IL 62286

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 Community Orthopedics & Sports Medicine, PC's NPI number?

The NPI number for Community Orthopedics & Sports Medicine, PC is 1710261623. It was assigned to this organization in the NPPES registry on October 11, 2011.

Where is Community Orthopedics & Sports Medicine, PC located?

Community Orthopedics & Sports Medicine, PC is located at 818 E Broadway St 1st Floor, Sparta, IL 62286. The listed phone number is (618) 443-2177.

What is Community Orthopedics & Sports Medicine, PC'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 Community Orthopedics & Sports Medicine, PC was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.