ORTHOPEDIC & SPORTS MEDICINE CENTER
NPI 1972611044
Orthopaedic Surgery in Normal, IL

Active since August 28, 2006
2200 FORT JESSE RD STE 250, NORMAL, IL 61761(309) 454-1616 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthopedic & Sports Medicine Center NPPES

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

ORTHOPEDIC & SPORTS MEDICINE CENTER (NPI 1972611044) is a healthcare organization registered as an orthopaedic surgery in Normal, Illinois and active in the NPI registry since August 2006. The organization lists Stephen Stout, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1972611044
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPEDIC & SPORTS MEDICINE CENTER
Location Address2200 FORT JESSE RD STE 250Normal, IL 61761-6290
Mailing AddressPo Box 1645Bloomington, IL 61702-1645
Organization SubpartNo
Authorized OfficialStephen StoutChief Operating Officer · (309) 454-1616
Enumeration DateAugust 28, 2006
Last NPPES UpdateMarch 23, 2011
NPI 1972611044 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 · 042-616684
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.
2200 FORT JESSE RD STE 250, Normal, IL 61761

Other Identifiers 2

Medicare ID-Type Unspecified503280IL
Medicare NSC1252700001IL

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 6

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

Orthopaedic Surgery
2200 FORT JESSE RD STE 250
NORMAL, IL 61761
Physical Medicine & Rehabilitation
2200 FORT JESSE RD STE 250
NORMAL, IL 61761
Orthopaedic Surgery
2200 FORT JESSE RD STE 250
NORMAL, IL 61761
Occupational Therapist
2200 FORT JESSE RD STE 250
NORMAL, IL 61761
Nurse Practitioner (Family)
2200 FORT JESSE RD STE 250
NORMAL, IL 61761
Occupational Therapist
2200 FORT JESSE RD STE 250
NORMAL, IL 61761

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's NPI number?

The NPI number for Orthopedic & Sports Medicine Center is 1972611044. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Orthopedic & Sports Medicine Center located?

Orthopedic & Sports Medicine Center is located at 2200 Fort Jesse Rd Ste 250, Normal, IL 61761. The listed phone number is (309) 454-1616.

What is Orthopedic & Sports Medicine Center'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 Orthopedic & Sports Medicine Center was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.