MEDICARE: OHIO VALLEY ORTHOPAEDICS AND SPORTS MEDICINE, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0317170001	OTHER	OH	DMERC GROUP NUMBER

General Provider Information

NPI Number	:	1619004348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO VALLEY ORTHOPAEDICS AND SPORTS MEDICINE, INC

Provider Business Mailing Address
First Line	:	8044 MONTGOMERY RD
Second Line	:	SUITE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2919
Country	:	US
Telephone Number	:	513-985-3700
Fax Number	:	513-985-3706

Provider Business Practice Location Address
First Line	:	8044 MONTGOMERY RD
Second Line	:	SUITE 100
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2919
Country	:	US
Telephone Number	:	513-985-3700
Fax Number	:	513-985-3706

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	KAREN S SCHMIDT
Credential	:
Telephone Number	:	513-985-3700

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/26/2007

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