Healthcare Provider Details

I. General information

NPI: 1174520787
Provider Name (Legal Business Name): ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2005
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CHARLES PL
MANHATTAN KS
66502-2750
US

IV. Provider business mailing address

1600 CHARLES PL
MANHATTAN KS
66502-2750
US

V. Phone/Fax

Practice location:
  • Phone: 785-537-4200
  • Fax: 844-749-1114
Mailing address:
  • Phone: 785-537-4200
  • Fax: 844-749-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-233553
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES R. MCATEE
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 785-537-4200