Organization
ORTHOCINCY ORTHOPAEDICS & SPORTS MEDICINE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN MARIE REIS (EXECUTIVE OFFICER/MANAGER)
(859) 301-2663
Entity
Organization
Contact information
Practice address
4355 FERGUSON DR, CINCINNATI, OH 45245-5136
(513) 221-2663
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/08/2021
Last updated
08/26/2022
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