ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE OF KY PLLC


Address: 789 Eastern Byp Ste 5, Richmond, KY 40475-2407
Phone: 8596244110

ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE OF KY PLLC (NPI# 1992832679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992832679
Entity Type Organization
Organization Name ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE OF KY PLLC
Practice Address 789 Eastern Byp Ste 5
Richmond
KY 40475-2407
Practice Telephone 8596244110
Practice Fax Number 8596241968
Mailing Telephone 8596244110
Mailing Fax Number 8596241968
Enumeration Date 2007-02-28
Last Update Date 2010-06-11
Authorized Official Name DR. THOMAS D CERVONI (MANAGER)
Authorized Official Telephone 8596244110
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 65940025 05
KY BLUECROSS BLUESHIELD 000000311396 01
KY TRAVELERS MEDICARE DB5273 01

Office Location

Street Address 789 EASTERN BYP STE 5
City RICHMOND
State KY
Zip Code 40475-2407

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922611300 Christina Panter Social Worker 370 Highland Drive, Ste 1a, Richmond, KY 40475 2020-08-26
1952875387 Visionary Therapy Center, LLC Speech-Language Pathologist 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 2019-01-18
1639656911 Brian Kettler Physical Therapy Assistant 2025 Corporate Dr Ste 2, Richmond, KY 40475 2018-07-19
1376063198 Erin Danielle Burt Developmental Therapist 100 Eastern Hills Drive, Richmond, KY 40475 2017-06-22
1477088730 Paul Henley Jr. Student in an Organized Health Care Education/Training Program 157 Shelby Court, Richmond, KY 40475 2017-04-25
1700310455 Center for Behavioral Health Kentucky, Inc. Clinic/Center 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 2017-04-19
1790221000 Darisha Jenkins Counselor 435 Gibson Lane, Richmond, KY 40475 2017-01-10
1992259402 Kendra Gross Counselor 451 Big Hill Ave Ste 5, Richmond, KY 40475 2016-08-12
1386095032 Shantila Nicole Wolford Case Manager/Care Coordinator 411 Gibson Lane, Richmond, KY 40475 2016-06-23
1154776540 Jessica Conley Social Worker 105 Masters Court, Richmond, KY 40475 2016-05-04
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477956878 Virginia Commonwealth University Orthopaedic Surgery 821 W Franklin St, Richmond, VA 23284-9012 2014-09-30
1558611764 Oakbend Medical Group Orthopaedic Surgery 7830 W. Grand Pkwy, Suite 280, Richmond, TX 77406-5818 2012-09-14
1477030740 Tmh Physician Associates Pllc Orthopaedic Surgery 7790 W Grand Pkwy S Ste 100, Richmond, TX 77406-5830 2018-07-19
1295113801 Virginia Union University Orthopaedic Surgery 1500 N Lombardy St, Richmond, VA 23220-1711 2015-05-14
1427141316 Thomas P Loughran Orthopaedic Surgery 1250 E Marshall St, Orthopaedic Surgery, Richmond, VA 23298-5051 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720349558 Christopher J Schaefer Orthopaedic Surgery 740 S Limestone Rm K401, Lexington, KY 40536-0001 2012-06-07
1396057527 Jarrod Russell Smith Orthopaedic Surgery 1000 Ashland Dr Ste 105, Ashland, KY 41101-7092 2010-07-02
1578797395 Jerrod J Felder Orthopaedic Surgery 740 S. Limestone Street, K401 Kentucky Clinic, Lexington, KY 40536-0284 2009-05-07
1467590190 Ryan Jeffrey Krupp Orthopaedic Surgery 9880 Angies Way Ste 250, Louisville, KY 40241-2865 2007-02-02
1437798261 Jorge Jackson Orthopaedic Surgery 2831 New Hartford Rd, Owensboro, KY 42303 2019-12-26
1558916601 Kayla Hanson Orthopaedic Surgery 101 Windsor Path, Georgetown, KY 40324-9617 2019-08-06
1033601091 Orthocincy Orthopaedic Surgery 560 S Loop Rd, Edgewood, KY 41017-3405 2018-06-05
1770932980 Smith Orthopedics & Sports Medicine, Psc Orthopaedic Surgery 1000 Ashland Dr, Ste. 105, Ashland, KY 41101-7084 2016-06-08
1245593946 Orthocincy Orthopaedic Surgery 1955 Dixie Hwy, Suite K, Ft Wright, KY 41011-2792 2012-06-19
1760779466 Spring View Physician Practices, LLC Orthopaedic Surgery 420 Loretto Rd, Suite 600, Lebanon, KY 40033-1628 2011-07-01
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Competitor

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City RICHMOND
Zip Code 40475

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Dataset Information

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.

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