Organization
GAITWELL ORTHOTICS AND PEDORTHICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D VEDER CO, CPED (OWNER)
(937) 456-4800
Entity
Organization
Contact information
Practice address
1 N COMMERCE PARK DR, SUITE 306, CINCINNATI, OH 45215-3187
(513) 829-2217
(513) 889-1850
Mailing address
1 N COMMERCE PARK DR STE 306, CINCINNATI, OH 45215-3188
(513) 829-2217
(513) 889-1850
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
LO144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
HEALTHSMART NETWORK
OH
01
—
000000298877
ANTHEM BLUE CROSS
OH
05
—
2801436
—
OH
01
—
A146591
MULTIPLAN
OH
Enumeration date
09/13/2006
Last updated
06/18/2020
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