SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL) – NPI #1063578466
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.

SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL) is an orthopaedic surgeon located in MARSHALL, MN. NPPES has assigned the NPI number 1063578466 to SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL) on December 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)” is a dba name, the actual legal business name for this organization is SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 16 years ago on Mar 18, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL) below.

NPI Profile for
SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC

NPI Number
1063578466
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHWEST MINNESOTA ORTHOPEDICS AND SPORTS MEDICINE, INC
Doing Business As (dba): SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)
Primary location
1401 NWAKAMA ST
SUITE 300
MARSHALL, MN 56258-5529
Phone: (507) 929-7696 Fax: (507) 393-7697
Mailing address
2331 20TH ST
SLAYTON, MN 56172-1004
Phone: (507) 393-7696 Fax:
Organization Subpart
No
Authorized Official
JODY JACKELS
OFFICE MANAGER
Phone: (507) 393-7696
Updated
Identifiers

Identifiers for SOUTHWEST MINNESOTA AND SPORTS MEDICINE, INC. - (MARSHALL)

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMN667522100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
MN 37196

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.