Healthcare Provider Details

I. General information

NPI: 1811198179
Provider Name (Legal Business Name): ORTHOPAEDIC SPECIALTIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 YOUNG DR SUITE 4
LEXINGTON KY
40505-4220
US

IV. Provider business mailing address

812 RED LEAF CT
LEXINGTON KY
40509-1759
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-2525
  • Fax: 859-268-2255
Mailing address:
  • Phone: 859-268-2525
  • Fax: 859-268-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: RICHARD NOLAND
Title or Position: PRESIDENT
Credential:
Phone: 859-268-2525