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Organization

ORTHOPEDIC ASSOCIATES OF MEADVILLE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAY A HIGBY (OPERATIONS MANAGER)
(814) 724-1252
Entity
Organization

Contact information

Practice address
11277 VERNON PLACE, SUITE 200, MEADVILLE, PA 16335-2348
(814) 724-1252
(814) 333-8871
Mailing address
11277 VERNON PL STE 200, MEADVILLE, PA 16335-3719
(814) 724-1252
(814) 333-8871

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208100000X
Physical Medicine & Rehabilitation Physician
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006511740001
PA
01
700149
BLUE SHIELD
PA
Enumeration date
06/26/2006
Last updated
01/24/2022
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