ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC – NPI #1467638312
Orthopaedic Surgery

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.

ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC is an orthopaedic surgeon located in SOUTH PORTLAND, ME. NPPES has assigned the NPI number 1467638312 to ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC on January 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 15 years ago on Nov 29, 2011. 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 ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC below.

NPI Profile for
ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC

NPI Number
1467638312
Enumeration Date

(more than 18 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
ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Primary location
100 FODEN RD
SUITE 307
SOUTH PORTLAND, ME 04106-2327
Phone: (207) 332-5462 Fax: (207) 774-6501
Mailing address
100 BRICKHILL AVE
SUITE 303
SOUTH PORTLAND, ME 04106-1999
Phone: (207) 773-0040 Fax: (207) 774-6501
Organization Subpart
No
Authorized Official
F. LINCOLN AVERY
CHIEF ADMINISTRATOR
Phone: (207) 332-5462
Updated
Identifiers

Identifiers for ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, LLC

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
MEDICAIDME432843300
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
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)
ME 012274

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.