# GREAT RIVER ORTHOPEDIC AND SPORTS MEDICINE CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Orthopedics and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760887673
- **Authorized official:** DR. JEFFREY F. TRAINA MD (OWNER)
- **Authorized official phone:** (337) 404-4075

## Contact information

- **Practice address:** 1106 PORT ARTHUR TER, LEESVILLE, LA 71446-4643
- **Practice address phone:** (337) 404-4075
- **Practice address fax:** (337) 446-2548
- **Mailing address:** 800 S. 3RD ST., LEESVILLE, LA 71446
- **Mailing address phone:** (337) 404-4075
- **Mailing address fax:** (337) 404-4069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/26/2024