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PENNSYLVANIA STATE UNIVERSITY SPORTS MEDICINE
NPI 1861949869
Orthopaedic Surgery in University Park, PA

Active since September 07, 2016
408 OLD MAIN, UNIVERSITY PARK, PA 16802(814) 865-4700 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pennsylvania State University Sports Medicine NPPES

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

PENNSYLVANIA STATE UNIVERSITY SPORTS MEDICINE (NPI 1861949869) is a healthcare organization registered as an orthopaedic surgery in University Park, Pennsylvania and active in the NPI registry since September 2016. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1861949869
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameTHE PENNSYLVANIA STATE UNIVERSITY
Location Address408 OLD MAINUniversity Park, PA 16802-1505
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909
Phone(814) 865-4700
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateSeptember 7, 2016
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1861949869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD062970L
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.
408 OLD MAIN, University Park, PA 16802
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Other Names 1

Doing Business AsPennsylvania State University Sports Medicine

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 MULTIPLE SINGLE SPECIALTY GROUP

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 The Pennsylvania State University's NPI number?

The NPI number for The Pennsylvania State University is 1861949869. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Pennsylvania State University Sports Medicine.

Where is The Pennsylvania State University located?

The Pennsylvania State University is located at 408 Old Main, University Park, PA 16802. The listed phone number is (814) 865-4700.

What is The Pennsylvania 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 The Pennsylvania State University was last updated on February 27, 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.