Organization
ORTHOPEDIC ASSOCIATES OF S W OHIO
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
MRS. ANGELA LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
450B WASHINGTON JACKSON RD, EATON, OH 45320-8699
(937) 415-9100
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
—
2831305
—
OH
01
—
DN6188
RR MEDICARE
OH
Enumeration date
03/14/2011
Last updated
06/26/2023
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