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NPI Code Detail

MEDICARE: TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED

MEDICARE: TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
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
1207XS0117XOrthopaedic Surgery of the Spine Physician4160OH
2213ES0103XFoot & Ankle Surgery Podiatrist36-003415OH
3207X00000XOrthopaedic Surgery Physician3505OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34160OTHEROHJEFFREY COCHRAN LICENSE
43505OTHEROHDANIEL MORETTA LICENSE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
736003415OTHEROHLICENSE

General Provider Information

NPI Number : 1639172745
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED
Provider Business Mailing Address
First Line : 3244 BAILEY ST NW
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3616
Country : US
Telephone Number : 330-837-8391
Fax Number : 330-837-2221
Provider Business Practice Location Address
First Line : 3244 BAILEY ST NW
Second Line :
City : MASSILLON
State : OH
Zip : 44646-3616
Country : US
Telephone Number : 330-837-8391
Fax Number : 330-837-2221
Authorized Official
Title or Position : PRESIDENT
Name : DR. DANIEL NEIL MORETTA
Credential : D.O.
Telephone Number : 330-837-8391
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/16/2010

Similar Medicare Providers

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Practice Location Address:
3244 BAILEY ST NW
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1154382752 — MRS. JEANETTE GATES P.T.
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1013979038 — MR. CHAD GOODING P.T.
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3244 BAILEY ST NW
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Practice Fax: 330-833-3115
1508828500 — MR. MARK FERNANDEZ P.T.
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Practice Fax: 330-833-3115
1144285131 — DR. JEFFREY MARTIN COCHRAN D.O.
Practice Location Address:
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44646-3616
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Practice Fax: 330-837-6782

Directions to “TRI COUNTY ORTHOPEDIC SURGEONS INCORPORATED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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