Organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Active
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Authorized official
ANGELA M. LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
7700 WASHINGTON VILLAGE DR, SUITE 120, DAYTON, OH 45459-3953
(937) 433-3460
(937) 433-2061
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300436
—
OH
01
—
200014379
MED RR
OH
05
—
2831305
—
OH
01
—
DN6188
RR MEDICARE
OH
Enumeration date
10/23/2007
Last updated
07/24/2012
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