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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 65940025 | 05 | |
KY | BLUECROSS BLUESHIELD | 000000311396 | 01 |
KY | TRAVELERS MEDICARE | DB5273 | 01 |
Street Address |
789 EASTERN BYP STE 5 |
City | RICHMOND |
State | KY |
Zip Code | 40475-2407 |
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 |
Find all providers in zip 40475 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
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 |
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 |
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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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.