# ORTHOPAEDICS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861463473
- **Authorized official:** DR. ALEXANDER PRUITT MD (PRESIDENT)
- **Authorized official phone:** (712) 580-2022

## Contact information

- **Practice address:** 20 WEST 6TH ST, SUITE 1, SPENCER, IA 51301
- **Practice address phone:** (712) 580-2022
- **Practice address fax:** (712) 580-2024
- **Mailing address:** 20 WEST 6TH ST, SUITE 1, SPENCER, IA 51301
- **Mailing address phone:** (712) 580-2022
- **Mailing address fax:** (712) 580-2024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5151790001 | IA | — |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 06/26/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0180034 | US DEPT OF LABOR & INDUST | — |
| 05 | — | 0481754 | — | IA |
| 01 | — | 104435 | HEALTH PARTNERS | — |
| 01 | — | 204803800 | US DEPT OF LABOR (ACS) | — |
| 01 | — | 71119 | WELLMARK SELECT | IA |
| 01 | — | DE0140 | RAILROAD MEDICARE | IA |