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NPI Code Detail

MEDICARE: ORTHOPAEDIC INSTITUTE OF OHIO

MEDICARE: ORTHOPAEDIC INSTITUTE OF OHIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205956299
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPAEDIC INSTITUTE OF OHIO
Provider Business Mailing Address
First Line : 801 MEDICAL DR
Second Line : SUITE A
City : LIMA
State : OH
Zip : 45804-4099
Country : US
Telephone Number : 419-222-6622
Fax Number : 419-224-0015
Provider Business Practice Location Address
First Line : 1800 E 5TH ST
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9139
Country : US
Telephone Number : 419-692-2662
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. KATHY ACKERMAN
Credential :
Telephone Number : 419-222-6622
Provider Enumeration Date : 03/31/2007
Last Update Date : 08/22/2020

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Directions to “ORTHOPAEDIC INSTITUTE OF OHIO ” Practice Location

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