MEDICARE: ORION MEDICAL GROUP, 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	332B00000X	Durable Medical Equipment & Medical Supplies	61976	NV

General Provider Information

NPI Number	:	1396836391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORION MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	10580 N MCCARRAN BLVD
Second Line	:	115-541
City	:	RENO
State	:	NV
Zip	:	89503-2059
Country	:	US
Telephone Number	:	714-649-9284
Fax Number	:	714-594-4038

Provider Business Practice Location Address
First Line	:	10580 N MCCARRAN BLVD
Second Line	:	115-541
City	:	RENO
State	:	NV
Zip	:	89503-2059
Country	:	US
Telephone Number	:	714-649-9284
Fax Number	:	714-594-4038

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID JOHN BUCK
Credential	:
Telephone Number	:	775-857-3941

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	11/18/2014

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