Emergency Medicine Sports Medicine Health Providers - Nationwide - Page 2 of 7

207PS0010X - Emergency Medicine Sports Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

List of 624 registered providers with a business address in Nationwide whose primary or secondary health provider taxonomy code is Emergency Medicine Sports Medicine, of which 117 are registered as organizations and 507 as individuals.

81% Individuals
19% Organizations
32% Female
49% Male
81% Individual Providers (507)19% Medical Organizations (117)32% Female Providers (201)49% Male Providers (306)

List of Providers

Provider Name Type AddressMedicarePECOS
CLINICAL CARE ASSOCIATES OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYSTOrganization150 MONUMENT RD FL 4
BALA CYNWYD, PA 19004
(610) 239-2871
Non-Participating ProviderNO
CLK MEDICAL CONSULTING, PLLC
EXPERT MEDICAL CARE
Organization226B NEW YORK AVENUE
HUNTINGTON, NY 11743
(631) 923-2139
Non-Participating ProviderNO
MATTHEW ALAN CLOSEIndividual13402 W COAL MINE AVE STE 250
LITTLETON, CO 80127
(206) 038-1787
Accepts MedicareYES
MIKAYLA COGHILLIndividual307 CHANCELLOR PL
FREDERICKSBURG, VA 22401
(540) 845-7570
Non-Participating ProviderNO
JENNIFER CONCANNONIndividual65 WILSON AVE
WEYMOUTH, MA 02188
(978) 273-3620
Non-Participating ProviderNO
MARK J. CONROYIndividual410 W 10TH AVE
COLUMBUS, OH 43210
(614) 293-8305
Accepts MedicareYES
LAURA COOKIndividual35 INTERNATIONAL DR
GREENVILLE, SC 29615
(864) 234-7654
Accepts MedicareYES
GIANMICHEL D CORRADOIndividual319 LONGWOOD AVE 6TH FLOOR
BOSTON, MA 02115
(617) 355-6028
Accepts MedicareYES
LAUREN E COSTELLOIndividualPRINCETON UNIVERSITY MCCOSH HEALTH CENTER
PRINCETON, NJ 08544
(609) 258-1438
Non-Participating ProviderNO
AUDREY COVINGTONIndividual101 BRADDOCK RD
FROSTBURG, MD 21532
(615) 975-4788
Non-Participating ProviderNO
DAVID M CRANEIndividual17300 N OUTER 40 RD STE 201
CHESTERFIELD, MO 63005
(636) 778-2900
Accepts MedicareYES
DYLAN C CREAMERIndividual3250 PALM AVE
SAN DIEGO, CA 92154
(619) 917-3611
Non-Participating ProviderNO
NATALIE SUE CROWLEYIndividual133 FAIRFIELD ST STE 101
SAINT ALBANS, VT 05478
(802) 752-1160
Non-Participating ProviderNO
CSRA EMERGENCY PHYSICIANS, PCOrganization3651 WHEELER ROAD ER DEPT.
AUGUSTA, GA 30909
(706) 651-2369
Non-Participating ProviderNO
CY-FAIR BONE & JOINT LLP
ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE
Organization11800 FM 1960 RD W
HOUSTON, TX 77065
(281) 664-2107
Non-Participating ProviderNO
STEPHEN WAYNE DAILEYIndividual222 PIEDMONT AVE
CINCINNATI, OH 45219
(513) 475-8690
Accepts MedicareYES
CAROLINE LEWIS-STIEGLITZ DAMITOGIndividual1100 NORTH AVE
GRAND JUNCTION, CO 81501
(970) 248-1548
Non-Participating ProviderNO
MOIRA DAVENPORTIndividual1307 FEDERAL ST 2ND FLOOR
PITTSBURGH, PA 15212
(877) 660-6777
Non-Participating ProviderYES
EVAN DAVISIndividual156 ROSELEAH AVE
NEWINGTON, CT 06111
(860) 614-2122
Non-Participating ProviderNO
ALYSSA DAVISIndividual111 ACADEMIC-ATHLETIC CENTER
MOREHEAD, KY 40351
(606) 783-2089
Non-Participating ProviderNO
BRONSON ELIZABETH DELASOBERAIndividual6858 OLD DOMINION DR
MC LEAN, VA 22101
(703) 288-2790
Accepts MedicareYES
WILLIAM DENQIndividual2150 PENNSYLVANIA AVE NW THE GW MEDICAL FACULTY ASSOCIATES
WASHINGTON, DC 20037
(202) 741-3000
Accepts MedicareYES
NATASHA NIKHIL DESAIIndividual590 5TH AVE FL 3
NEW YORK, NY 10036
(212) 305-0769
Accepts MedicareYES
PIERRE A D'HEMECOURTIndividual300 LONGWOOD AVE
BOSTON, MA 02115
(617) 355-6969
Accepts MedicareYES
STEPHEN DIGHIndividual7336 RAGING RIDGE RD
HARRISBURG, NC 28075
(704) 455-1331
Non-Participating ProviderNO
GRACE MARGARET ADAMS DIONIndividual701 GROVE RD FL 1
GREENVILLE, SC 29605
(864) 455-5198
Accepts MedicareYES
JAMES S DISTEFANOIndividual3201 UNIVERSITY DR E STE 320
BRYAN, TX 77802
(979) 704-5029
Accepts MedicareYES
DLP FRYE MEDICAL GROUP LLC
FRYECARE SPORTS MEDICINE AND CONCUSSION CLINIC
Organization52 12TH AVE NE
HICKORY, NC 28601
(828) 328-2941
Non-Participating ProviderNO
DMC ORTHOPAEDIC BILLING ASSOCIATES, LLC
DMC BILLING ASSOCIATES, LLC
Organization9398 N LILLEY RD
PLYMOUTH, MI 48170
(734) 254-0453
Non-Participating ProviderNO
KATE DOBBERSTEINIndividual2105 E ENTERPRISE AVE STE 113
APPLETON, WI 54913
(920) 216-6171
Non-Participating ProviderNO
PETER DONALDSONIndividual26025 LAHSER RD 2ND FLOOR
SOUTHFIELD, MI 48033
(248) 663-1900
Accepts MedicareYES
GEORGE M DOUGLASSIndividual17355 BOONES FERRY RD SUITE C
LAKE OSWEGO, OR 97035
(503) 344-6445
Non-Participating ProviderNO
DANA DOWELLIndividual1981 UNION CHURCH RD
CAMERON, NC 28326
(910) 947-5511
Non-Participating ProviderNO
DWAYNE H. D'SOUZAIndividual3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
(615) 322-5000
Accepts MedicareYES
DUBOIS REGIONAL MEDICAL CENTER
PENN HIGHLANDS BROOVILLE MEDICAL OFFICE BLDG
Organization88 HOSPITAL RD
BROOKVILLE, PA 15825
(814) 849-2312
Non-Participating ProviderNO
JARED C DUNNIndividual5848 S FASHION BLVD STE 110
SALT LAKE CITY, UT 84107
(801) 314-4020
Accepts MedicareYES
TIMOTHY JAMES DURKINIndividual2300 E 30TH ST STE 101
FARMINGTON, NM 87401
(505) 208-6280
Accepts MedicareYES
JACQUELINE DURSTIndividual101 BRADDOCK RD FROSTBURG STATE UNIVERSITY KINESIOLOGY DEPARTMENT
FROSTBURG, MD 21532
(301) 697-2801
Non-Participating ProviderNO
ALEXANDER E EBINGERIndividual12605 E 16TH AVE
AURORA, CO 80045
(720) 848-0000
Accepts MedicareYES
JOSEPH A EKHOFFIndividual10585 MOUNTAIN VISTA RDG
HIGHLANDS RANCH, CO 80126
(303) 387-1500
Non-Participating ProviderNO
LESLIE ELLISIndividual155 RADIO DR
WOODBURY, MN 55125
(952) 831-8742
Accepts MedicareYES
JOY LYNN ENGLISHIndividual4921 PARKVIEW PL STE 6A/6B/12A
SAINT LOUIS, MO 63110
(314) 747-2500
Accepts MedicareYES
JUSTIN R ENNISIndividual1500 S AVENUE K
PORTALES, NM 88130
(760) 525-2087
Non-Participating ProviderNO
ESPINOZA SLEEP CENTER & MINOR EMERGENCY CARE
RANMAN & CO
Organization10930 EAST FREEWAY
HOUSTON, TX 77029
(832) 831-6974
Non-Participating ProviderNO
KELLY E ESTESIndividual551 WASHINGTON ST
CHAGRIN FALLS, OH 44022
(440) 893-9393
Accepts MedicareYES
EXPRESS CARE CLINIC LLCOrganization2650 W STATE ROAD 434
LONGWOOD, FL 32779
(407) 475-3366
Non-Participating ProviderNO
FACULTY MEDICAL GROUP OF LLUSM
FMG OF LLUSM-ED URGENT CARE
Organization28078 BAXTER RD
MURRIETA, CA 92563
(951) 290-6366
Non-Participating ProviderNO
FACULTY MEDICAL GROUP OF LLUSM
FMG-ED MURRIETA
Organization28062 BAXTER ROAD
MURRIETA, CA 92563
(909) 558-3111
Non-Participating ProviderNO
FAIRVILLE OASIS, PLLCOrganization600 KENSINGTON DR APT 613
JACKSONVILLE, NC 28546
(443) 852-2730
Non-Participating ProviderNO
PARASTOU FARHADIANIndividual14427 CHASE ST UNIT 302
PANORAMA CITY, CA 91402
(818) 830-7751
Non-Participating ProviderYES
GARRETT FARMERIEIndividual5715 CEDAR WALK APT 404
CENTREVILLE, VA 20121
(703) 470-0891
Non-Participating ProviderNO
COLTON AUSTIN FAZAIndividual2100 STANTONSBURG RD
GREENVILLE, NC 27834
(252) 744-4757
Accepts MedicareYES
JEFFREY FEDENIndividual593 EDDY ST CLAVERICK 2
PROVIDENCE, RI 02903
(401) 519-1604
Accepts MedicareYES
CAROL S FEDERIUKIndividual3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
(503) 418-1709
Non-Participating ProviderNO
WILLIAM FELIX-RODRIGUEZIndividual9975 TAVISTOCK LAKES BLVD SUITE 220
ORLANDO, FL 32827
(407) 930-7801
Non-Participating ProviderYES
JASON FERDERBERIndividual1700 OLD GATESBURG RD STE 200
STATE COLLEGE, PA 16803
(814) 237-4321
Accepts MedicareYES
MELISSA SUZANNE FIELDSIndividual1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
(859) 301-5600
Non-Participating ProviderNO
ROBERT FITCHIndividual3601 TVC
NASHVILLE, TN 37232
(615) 322-3000
Accepts MedicareYES
FITNESS & RECOVERY, LLCOrganization150 LAKE AVE
TUCKAHOE, NY 10707
(914) 395-3691
Non-Participating ProviderNO
FLEX SPORTS MEDICINE AND WELLNESS, LLCOrganization4490 WASHINGTON RD STE 2
EVANS, GA 30809
(762) 930-3539
Non-Participating ProviderNO
FOCUS BRAIN THERAPYOrganization10650 W STATE ROAD 84 STE 208
DAVIE, FL 33324
(754) 778-8685
Non-Participating ProviderNO
JESSE FODEROIndividual6934 WILLIAMS RD STE 600
NIAGARA FALLS, NY 14304
(716) 204-3200
Accepts MedicareYES
RILEY NEAN FONTAINEIndividual230 CLEARFIELD AVE
VIRGINIA BEACH, VA 23462
(757) 321-3300
Non-Participating ProviderNO
CAMILLE FORTEIndividual4528 EASY ST # A
ORANGE BEACH, AL 36561
(256) 617-0919
Non-Participating ProviderNO
REAGAN FOSSLERIndividual6659 BETHLEHEM RD
SPRINGFIELD, TN 37172
(615) 878-0568
Non-Participating ProviderNO
JAMES FOXIndividual4727 E CAMP LOWELL DR
TUCSON, AZ 85712
(520) 600-4300
Non-Participating ProviderYES
VANESSA SUZANNE FRANCOIndividual924 WESTWOOD BLVD STE 300
LOS ANGELES, CA 90024
(310) 794-0585
Accepts MedicareYES
BRENA FRANKLINIndividual901 S FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 803-2000
Non-Participating ProviderNO
RYAN LEONARD FREEDMANIndividual4440 W 95TH ST
OAK LAWN, IL 60453
(708) 684-5354
Accepts MedicareYES
HALLIE M. FRENCHIndividual5121 S COTTONWOOD ST UTAH EMERGENCY PHYSICIANS
SALT LAKE CITY, UT 84107
(801) 507-9700
Accepts MedicareYES
RYAN PAIGE FRIEDBERGIndividual320 BROOKLINE AVE
BOSTON, MA 02215
(617) 754-2349
Accepts MedicareYES
JASON BRIAN FRIEDMANIndividual45 READE PLACE VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
(845) 431-5624
Non-Participating ProviderYES
ERIC ROBERT FRIEDMANIndividual110 S PACA ST 6TH FLOOR, SUITE 200,
BALTIMORE, MD 21201
(410) 328-8667
Accepts MedicareYES
JOHN LUKE FRYOUXIndividual12035 LA-431
ST. AMANT, LA 70774
(225) 391-6000
Non-Participating ProviderNO
COLLEEN FUSSELLIndividual2 BUCKEYE DR
NELSONVILLE, OH 45764
(407) 595-7793
Non-Participating ProviderNO
JUDSON PAYNE GARBARINOIndividual129 MCDOWELL ST
ASHEVILLE, NC 28801
(828) 258-8800
Accepts MedicareYES
JOSHUA GARDINERIndividual2200 BONFORTE BLVD
PUEBLO, CO 81001
(720) 737-4856
Non-Participating ProviderNO
ROBERT P GARNETTIndividual3651 WHEELER RD
AUGUSTA, GA 30909
(706) 651-2369
Accepts MedicareYES
VICTORIA E GARRETTIndividual1400 NW 12TH AVE
MIAMI, FL 33136
(305) 689-5464
Non-Participating ProviderYES
BRIAN GAUDERIndividual1725 CLENEAY AVE
CINCINNATI, OH 45212
(937) 304-1697
Non-Participating ProviderNO
GEAUGA SPORTS MEDICINEOrganization11800 E WASHINGTON ST
AUBURN, OH 44023
(440) 285-6452
Non-Participating ProviderNO
BEAU PHILIP GEDRICKIndividual4490 WASHINGTON RD STE 2
EVANS, GA 30809
(762) 930-3539
Non-Participating ProviderYES
BROOKE MORGAN GEDRICKIndividual15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
(586) 263-2952
Non-Participating ProviderYES
CHRISTOPHER AARON GEEIndividual50 N MEDICAL DR
SALT LAKE CITY, UT 84132
(801) 581-2292
Accepts MedicareYES
MARY SALWA SAFWAT GENDYIndividual1050 LINDEN AVE
LONG BEACH, CA 90813
(562) 491-9000
Non-Participating ProviderYES
GEORGE M DOUGLASS MD PCOrganization9445 SW LOCUST ST
TIGARD, OR 97223
(503) 352-1313
Non-Participating ProviderNO
MICHAEL GIACOPASIIndividual5901 SOUTHWEST PKWY
AUSTIN, TX 78735
(845) 216-0606
Non-Participating ProviderNO
ERIC GIESEMANNIndividual2529 JEAN LAFITTE BLVD
LAFITTE, LA 70067
(504) 689-3665
Non-Participating ProviderNO
SAMANTHA GIGANTEIndividual4513 MANHATTAN COLLEGE PARKWAY DRADDY GYMNASIUM
BRONX, NY 10471
(718) 862-7226
Non-Participating ProviderNO
KIERA DESTINY GLODOWSKIIndividual1337 LOWER CAMPUS RD OFC 224
HONOLULU, HI 96822
(808) 956-7606
Non-Participating ProviderNO
BRANDON WALLACE GODFREYIndividual2811 TIETON DR
YAKIMA, WA 98902
(509) 575-8000
Non-Participating ProviderYES
ADAM GOLDSTONEIndividual1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 650-6309
Non-Participating ProviderYES
VANESSA GOMEZIndividual1801 N BROAD ST
PHILADELPHIA, PA 19122
(954) 980-5257
Non-Participating ProviderNO

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