MEDICARE: FAR OAKS ORTHOPEDISTS, INC

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
1	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DC5010	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1336372796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAR OAKS ORTHOPEDISTS, INC

Provider Business Mailing Address
First Line	:	6490 CENTERVILLE BUSINESS PKWY
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2633
Country	:	US
Telephone Number	:	937-433-1336
Fax Number	:	937-433-1340

Provider Business Practice Location Address
First Line	:	4940 COTTONVILLE RD
Second Line	:
City	:	JAMESTOWN
State	:	OH
Zip	:	45335-1522
Country	:	US
Telephone Number	:	937-433-5309
Fax Number	:	937-433-1150

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEVEN KLEINHENZ
Credential	:	M.D.
Telephone Number	:	937-433-5309

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	07/01/2010

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Directions to “FAR OAKS ORTHOPEDISTS, INC ” Practice Location

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