1. Home
  2. Directory
  3. Kansas
  4. Pittsburg
  5. Orthopaedic Surgery
  6. NPI Profile

PITTSBURG STATE UNIVERSITY SPORTS MEDICINE
NPI 1821544479
Orthopaedic Surgery in Pittsburg, KS

Active since September 01, 2016
1701 S BROADWAY ST, 110 RUSS HALL, PITTSBURG, KS 66762(620) 231-7000 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pittsburg State University Sports Medicine NPPES

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

PITTSBURG STATE UNIVERSITY SPORTS MEDICINE (NPI 1821544479) is a healthcare organization registered as an orthopaedic surgery in Pittsburg, Kansas and active in the NPI registry since September 2016. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1821544479
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePITTSBURG STATE UNIVERSITY
Location Address1701 S BROADWAY ST, 110 RUSS HALLPittsburg, KS 66762-5856
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909 · (972) 367-4845
Phone(620) 231-7000
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateSeptember 1, 2016
✔ NPI 1821544479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KS · 04-28648
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.
1701 S BROADWAY ST, Pittsburg, KS 66762
Open in Google Maps ↗

Other Names 1

Doing Business AsPittsburg State University 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 12

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

STACEY E BACON NP-C
Nurse Practitioner (Family)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4452
MICHELLE NICOLE EMBREY
Registered Nurse (Critical Care Medicine)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4431
MR. PHILIP D CARR ATC
Specialist/Technologist (Athletic Trainer)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4650
DR. SEAN LAUDERDALE PH.D.
Psychologist (Clinical)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4526
THERESA MARIE VANBECELAERE A.R.N.P.
Nurse Practitioner (Primary Care)
1701 S BROADWAY ST, PITTSBURG STATE UNIVERSITY, STUDENT HEALTH CENTER
PITTSBURG, KS 66762
Crawford County (620) 235-4452
ALYSSA KIEFFER LAT, ATC
Specialist/Technologist (Athletic Trainer)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (785) 275-2061
KARLIE ZAFUTA FNP
Nurse Practitioner (Family)
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4431
JOSEPH SCOTT MORRIS
Student in an Organized Health Care Education/Training Program
1701 S BROADWAY ST
PITTSBURG, KS 66762
Crawford County (620) 235-4431

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 Pittsburg State University's NPI number?

The NPI number for Pittsburg State University is 1821544479. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Pittsburg State University Sports Medicine.

Where is Pittsburg State University located?

Pittsburg State University is located at 1701 S Broadway St 110 Russ Hall, Pittsburg, KS 66762. The listed phone number is (620) 231-7000.

What is Pittsburg State 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 Pittsburg State University was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.