Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pittsburg State University

Organization Orthopaedic Surgery Physician · NPI 1821544479

Pittsburg State University is an Orthopaedic Surgery Physician in Pittsburg, Kansas. Licensed in Kansas. Registered with an NPI since 2016.

Licensed in
KS
In the registry since
2016

Practice location Address checks out

1701 S Broadway St 110 Russ Hall
Pittsburg, KS 66762-5856
Phone: (620) 231-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 04-28648 (KS)

Record details

NPI number1821544479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Pittsburg State University Sports Medicine
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909

Other providers in Pittsburg