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ORTHOPEDIC SPECIALISTS & SPORTS MEDICINE INC. NPI 1710983200


NPI Information

NPI: 1710983200
Provider Name: ORTHOPEDIC SPECIALISTS & SPORTS MEDICINE, INC.

Other Name: ORTHOPEDIC SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 36D2124466

Address:
2750 NEWARK GRANVILLE RD
GRANVILLE, OH
ZIP 43023
Phone: (740) 788-9220
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ORTHOPEDIC SPECIALISTS & SPORTS MEDICINE, INC. is a specialist in Granville, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHOPEDIC SPECIALISTS & SPORTS MEDICINE, INC. NPI is 1710983200. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Orthopedic Specialists.

The provider's business location address is:

2750 NEWARK GRANVILLE RD
GRANVILLE, OH
ZIP 43023-142
Phone: (740) 788-9220
Fax: (740) 788-9226

The provider's authorized official is Edward Lee Westerheide .
The authorized official title is President and has the following contact phone number (740) 788-9220.

The CLIA number assigned to this NPI record is 36D2124466 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 4/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist35047273OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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