COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC (NPI# 1437521291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437521291 |
| Entity Type | Organization |
| Organization Name | COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC |
| Practice Address |
2045 Centre Stone Ct Ste A Columbus GA 31904-4561 |
| Practice Telephone | 7065968844 |
| Practice Fax Number | 8442742477 |
| Mailing Telephone | 7065968844 |
| Mailing Fax Number | 8442742477 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | ROBERT GORDON LEWIS (OWNER) |
| Authorized Official Telephone | 7065968844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
053576 | GA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 053576 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2045 CENTRE STONE CT STE A |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31904-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255369120 | Robert Gordon Lewis | Orthopaedic Surgery | 2045 Centre Stone Ct, Ste A, Columbus, GA 31904-4561 | 2006-06-29 |
| 1982010716 | Riverside Dermatology and Aesthetic Center, PC | Dermatology | 2045 Centre Stone Ct, Suite B, Columbus, GA 31904-4571 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821641457 | At Home Palliative Care, LLC | Nursing Care | 114 Enterprise Ct, Suite B, Columbus, GA 31904 | 2019-07-23 |
| 1285191049 | Shandra Ladell Grimes | Nurse Practitioner | 2300 Manchester Expwy St Francis Hospital, Suite C-001, Columbus, GA 31904 | 2019-02-27 |
| 1881161529 | Lesley Kathleen Simmons | Massage Therapist | 5402 15th Ave, Columbus, GA 31904 | 2018-10-31 |
| 1184190662 | Alphonsa Joseph | Nurse Practitioner | 2430 Brookstone Centre Parkway, Columbus, Georgia 31904, Columbus, GA 31904 | 2018-10-22 |
| 1568942704 | William Pearce Massey | Social Worker | 8851-1 Moore Road, Columbus, GA 31904 | 2018-08-17 |
| 1033696372 | Marlise V. Gray | Counselor | 2013 Devonshire Dr. Suite 115, Columbus, GA 31904 | 2018-07-19 |
| 1710418173 | Amanda Barnette Pruett | Behavioral Analyst | 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904 | 2017-03-27 |
| 1750833232 | Carrie Leigh Whitehead | Nurse Practitioner | 6228 Bradley Park Dr. Suite A, Columbus, GA 31904 | 2016-10-31 |
| 1609323369 | Shomika Lasha Battle | Registered Nurse | 2101 North Avenue, Columbus, GA 31904 | 2016-09-09 |
| 1952759219 | Peaceful River Home Care Agency | In Home Supportive Care | 738 Rudgate Road, Columbus, GA 31904 | 2016-05-27 |
| Find all providers in zip 31904 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164861449 | Shawn R Brandenburg | Orthopaedic Surgery | 4508 38th Street, Suite 133, Columbus, NE 68601-1668 | 2013-06-19 |
| 1346549383 | Ohiohealth Corporation | Orthopaedic Surgery | 340 E Town St Ste 7-600, Columbus, OH 43215-4693 | 2011-03-16 |
| 1952600074 | Ohiohealth Corporation | Orthopaedic Surgery | 5141 W Broad St Ste 150, Columbus, OH 43228-1984 | 2011-03-16 |
| 1528367562 | Ohiohealth Corporation | Orthopaedic Surgery | 5131 Beacon Hill Rd Ste 160, Columbus, OH 43228-4441 | 2011-03-16 |
| 1598063620 | Ohiohealth Corporation | Orthopaedic Surgery | 340 E Town St Ste 7-250, Columbus, OH 43215-4615 | 2011-03-15 |
| 1881927143 | Hatheway Orthopaedics | Orthopaedic Surgery | 720 E. Broad St, Suite 100, Columbus, OH 43215 | 2009-09-17 |
| 1932336997 | Tamara N Huff | Orthopaedic Surgery | 2300 Manchester Expy Ste 101a, Columbus, GA 31904-6802 | 2009-06-17 |
| 1699966044 | Ryan M Geringer | Orthopaedic Surgery | 6262 Veterans Parkway, Columbus, GA 31909-3540 | 2007-08-09 |
| 1427254515 | Matthew Edgeley Lovell | Orthopaedic Surgery | 940 North Marr, Suite C, Columbus, IN 47201 | 2007-06-25 |
| 1659405793 | Kenny B Edwards | Orthopaedic Surgery | 670 Leigh Drive, Columbus, MS 39705 | 2007-03-14 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.