Organization
ELLIS & BADENHAUSEN ORTHOPAEDICS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA M PRESTON CPC (BILLING DIRECTOR)
(502) 587-1236
Entity
Organization
Contact information
Practice address
3605 NORTHGATE CT STE 214, NEW ALBANY, IN 47150-6422
(812) 321-6321
Mailing address
PO BOX 32486, LOUISVILLE, KY 40232-2486
(502) 587-1236
(502) 587-0126
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/30/2022
Last updated
02/27/2025
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