Taxonomy Code 207XX0005X(207xx0005x)
Sports Medicine (Orthopaedic Surgery) Physician. Providers: 2

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Sports Medicine (Orthopaedic Surgery) Physician Providers

NPI Name Type Address

1386771186

DR. M.D. Fred Blackwell

Individual

2100 Otis Dr

Alameda, CA

1942513882

DR. M.D. James Guido Distefano JR.

Individual

947 Marina Village Pkwy

Alameda, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 207XX0005X
Specialization Sports Medicine
Display Name Sports Medicine (Orthopaedic Surgery) Physician
Taxonomy Group Allopathic & Osteopathic Physicians
Taxonomy Classification Orthopaedic Surgery
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.
Effective Date September 30, 2009
Modification Date September 30, 2009
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Orthopaedic Surgery Codes

Adult Reconstructive Orthopaedic Surgery Physician

207XS0114X • providers: 1,303

Orthopaedic Foot and Ankle Surgery Physician

207XX0004X • providers: 860

Orthopaedic Hand Surgery Physician

207XS0106X • providers: 2,910

Orthopaedic Surgery Physician

207X00000X • providers: 34,526

Orthopaedic Surgery of the Spine Physician

207XS0117X • providers: 2,914

Orthopaedic Trauma Physician

207XX0801X • providers: 871

Pediatric Orthopaedic Surgery Physician

207XP3100X • providers: 895